| Chicago Gastro Llc | |
|
945 W George St Ste 101 Chicago IL 60657-5893 | |
| (773) 537-0020 | |
| Not Available |
| Full Name | Chicago Gastro Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 945 W George St Ste 101, Chicago, Illinois |
| Authorized Official Name and Position | Andrew Albert (DIRECTOR) |
| Authorized Official Contact | 7735370020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Gastro Llc Po Box 14763 Chicago IL 60614-0763 Ph: (773) 537-0020 | Chicago Gastro Llc 945 W George St Ste 101 Chicago IL 60657-5893 Ph: (773) 537-0020 |
| NPI Number | 1548414063 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 01/08/2009 |
| Medicare PECOS PAC ID | 5496818023 |
|---|---|
| Medicare Enrollment ID | O20090108000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548414063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Andrew Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659413656 PECOS PAC ID: 4082710561 Enrollment ID: I20070430000153 |
| Provider Name | Stephen T Steiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023102951 PECOS PAC ID: 7315083557 Enrollment ID: I20091001000499 |
| Provider Name | John Peter Czarnecki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932198645 PECOS PAC ID: 9032130208 Enrollment ID: I20240613001467 |
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