| Gastroenterology Services, Ltd | |
|
3825 Highland Ave Suite 203 Downers Grove IL 60515-1552 | |
| (630) 969-1167 | |
| (630) 969-1297 |
| Full Name | Gastroenterology Services, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3825 Highland Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | David P Gerard (CO-OWNER) |
| Authorized Official Contact | 6309691167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Services, Ltd 3825 Highland Ave Suite 203 Downers Grove IL 60515-1552 Ph: (630) 969-1167 | Gastroenterology Services, Ltd 3825 Highland Ave Suite 203 Downers Grove IL 60515-1552 Ph: (630) 969-1167 |
| NPI Number | 1205966678 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/28/2008 |
| Medicare PECOS PAC ID | 0143318881 |
|---|---|
| Medicare Enrollment ID | O20071114000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205966678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Illinois) | Primary |
| Provider Name | Ajay Bajaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518943513 PECOS PAC ID: 0648222406 Enrollment ID: I20050221000280 |
| Provider Name | John L Holden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356341846 PECOS PAC ID: 4880776442 Enrollment ID: I20080205000164 |
| Provider Name | Manfred W Raiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306958665 PECOS PAC ID: 8123116860 Enrollment ID: I20080429000435 |
| Provider Name | Suriya V Sastri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316904816 PECOS PAC ID: 4880725688 Enrollment ID: I20100623000023 |
| Provider Name | David P Gerard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942312210 PECOS PAC ID: 9032207774 Enrollment ID: I20110201000717 |
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