| Gastroenterology Consultants Of Libertyville Ltd | |
|
890 Garfield Ave Suite 103 Libertyville IL 60048-3100 | |
| (847) 680-5858 | |
| (847) 680-5862 |
| Full Name | Gastroenterology Consultants Of Libertyville Ltd |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 890 Garfield Ave, Libertyville, Illinois |
| Authorized Official Name and Position | John W Matseshe (PRESIDENT) |
| Authorized Official Contact | 8476805858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Of Libertyville Ltd 890 Garfield Avenue Suite 103 Libertyville IL 60048-3100 Ph: (847) 680-5858 | Gastroenterology Consultants Of Libertyville Ltd 890 Garfield Ave Suite 103 Libertyville IL 60048-3100 Ph: (847) 680-5858 |
| NPI Number | 1053483909 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053483909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 042003643 (Illinois) | Primary |
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