Gastroenterology Consultants Of The North Shore | |
505 Park Dr Kenilworth IL 60043-1082 | |
(847) 256-8661 | |
(847) 256-1598 |
Full Name | Gastroenterology Consultants Of The North Shore |
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Speciality | Internal Medicine |
Location | 505 Park Dr, Kenilworth, Illinois |
Authorized Official Name and Position | Yolandra Johnson (PRESIDENT) |
Authorized Official Contact | 8472568661 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastroenterology Consultants Of The North Shore 505 Park Dr Kenilworth IL 60043-1082 Ph: (847) 256-8661 | Gastroenterology Consultants Of The North Shore 505 Park Dr Kenilworth IL 60043-1082 Ph: (847) 256-8661 |
NPI Number | 1962403212 |
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Provider Enumeration Date | 08/09/2005 |
Last Update Date | 03/18/2021 |
Medicare PECOS PAC ID | 4981784576 |
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Medicare Enrollment ID | O20080109000070 |
Identifier | Type | State | Issuer |
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1962403212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Jonathan F Williams |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1013195650 PECOS PAC ID: 4981777026 Enrollment ID: I20080722000591 |
Provider Name | Yolandra Johnson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326030511 PECOS PAC ID: 1153401757 Enrollment ID: I20100702000087 |
Karla E.a. Steingraber Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 Warwick Rd, Kenilworth, IL 60043 Phone: 301-633-4266 Fax: 847-251-3289 |