Center For Gastroenterology And Nutrition, Llc | |
9669 Kenton Ave Suite 306 Skokie IL 60076-1266 | |
(847) 674-7501 | |
(847) 674-7512 |
Full Name | Center For Gastroenterology And Nutrition, Llc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 9669 Kenton Ave, Skokie, Illinois |
Authorized Official Name and Position | Alan Buchman (DIRECTOR) |
Authorized Official Contact | 8476747501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Gastroenterology And Nutrition, Llc 9669 Kenton Ave Suite 306 Skokie IL 60076-1266 Ph: (847) 674-7501 | Center For Gastroenterology And Nutrition, Llc 9669 Kenton Ave Suite 306 Skokie IL 60076-1266 Ph: (847) 674-7501 |
NPI Number | 1407287352 |
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Provider Enumeration Date | 12/03/2013 |
Last Update Date | 01/15/2014 |
Identifier | Type | State | Issuer |
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1407287352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 336-062256 (Illinois) | Primary |
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Associated Internal Medicine Physicians S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9700 Kenton Ave, Suite 302, Skokie, IL 60076 Phone: 847-433-3737 Fax: 847-674-2096 | |
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