| Metropolitan Gastroenterology Consultants Limited | |
|
10444 S Western Ave Suite A Chicago IL 60643-2508 | |
| (773) 238-1126 | |
| Not Available |
| Full Name | Metropolitan Gastroenterology Consultants Limited |
|---|---|
| Speciality | Internal Medicine |
| Location | 10444 S Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Darrien Lance Gaston (PRESIDENT) |
| Authorized Official Contact | 7732381126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Gastroenterology Consultants Limited 10444 S Western Ave Suite A Chicago IL 60643-2508 Ph: () - | Metropolitan Gastroenterology Consultants Limited 10444 S Western Ave Suite A Chicago IL 60643-2508 Ph: (773) 238-1126 |
| NPI Number | 1134345267 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 04/29/2010 |
| Medicare PECOS PAC ID | 8224165907 |
|---|---|
| Medicare Enrollment ID | O20100429000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134345267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036071497 (Illinois) | Primary |
| Provider Name | Darrien L Gaston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023234143 PECOS PAC ID: 2062549744 Enrollment ID: I20100429000906 |
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