| Midwest Gastro Ltd | |
|
17 W 755 Butterfield Rd Suite 101 Oakbrook Terrace IL 60181 | |
| (630) 827-0100 | |
| (630) 827-0103 |
| Full Name | Midwest Gastro Ltd |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 17 W 755 Butterfield Rd, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Dhruva Tilwalli (PRESIDENT) |
| Authorized Official Contact | 6308270100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Gastro Ltd 17 W 755 Butterfield Rd Suite 101 Oakbrook Terrace IL 60181 Ph: (630) 827-0100 | Midwest Gastro Ltd 17 W 755 Butterfield Rd Suite 101 Oakbrook Terrace IL 60181 Ph: (630) 827-0100 |
| NPI Number | 1083745251 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745251 | NPI | - | NPPES |
| 21608842 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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