Southern Illinois Gastroenterology Llc

LBN: Southern Illinois Gastroenterology Llc
Southern Illinois Gastroenterology Llc is an health care organization with primary practice located at 1212 Broadway , Highland IL 62249-1960. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Southern Illinois Gastroenterology Llc can be contacted via phone (618) 391-5070, or through Rodriguez-Frias, Edmundo A via phone (618) 391-5070.

Contact Information

Primary practice address
1212 Broadway Highland IL 62249-1960
Phone: (618) 391-5070
Fax: (618) 288-1872
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez-Frias, Edmundo A Doctor of Medicine (MD)
Phone: (618) 391-5070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1902467798
LBN Legal business name Southern Illinois Gastroenterology Llc
DBA Doing business as
Authorized official Rodriguez-Frias, Edmundo A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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