| Advanced Gi, Llc | |
|
3000 N Halsted St Ste 625 Chicago IL 60657-5196 | |
| (773) 281-5818 | |
| (773) 281-6859 |
| Full Name | Advanced Gi, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 N Halsted St Ste 625, Chicago, Illinois |
| Authorized Official Name and Position | Carl Atallah (OWNER) |
| Authorized Official Contact | 7732815818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gi, Llc Po Box 463 Northbrook IL 60065-0463 Ph: (773) 281-5818 | Advanced Gi, Llc 3000 N Halsted St Ste 625 Chicago IL 60657-5196 Ph: (773) 281-5818 |
| NPI Number | 1942795422 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 7416205414 |
|---|---|
| Medicare Enrollment ID | O20180808000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942795422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Flicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730375627 PECOS PAC ID: 7517005879 Enrollment ID: I20110606000529 |
| Provider Name | Carl K Atallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922269190 PECOS PAC ID: 7315107414 Enrollment ID: I20120327000935 |
| Provider Name | Manish Kumar Dhamija |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699977413 PECOS PAC ID: 4880847797 Enrollment ID: I20130201000480 |
| Provider Name | Mona Lalehzari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952838526 PECOS PAC ID: 3870863228 Enrollment ID: I20230525001607 |
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