| Greenville Gastroenterology, S.c. | |
|
150 Health Care Dr Suite B Greenville IL 62246-1161 | |
| (618) 664-9002 | |
| (618) 664-9003 |
| Full Name | Greenville Gastroenterology, S.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 150 Health Care Dr, Greenville, Illinois |
| Authorized Official Name and Position | Peter S. Kim (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6186649002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Gastroenterology, S.c. 150 Health Care Dr Suite B Greenville IL 62246-1161 Ph: (618) 664-9002 | Greenville Gastroenterology, S.c. 150 Health Care Dr Suite B Greenville IL 62246-1161 Ph: (618) 664-9002 |
| NPI Number | 1326097924 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326097924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Illinois) | Primary |
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