| North Suburban Gastroenterology | |
|
711 W Devon Park Ridge IL 60068-4713 | |
| (847) 696-3176 | |
| (847) 696-2678 |
| Full Name | North Suburban Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 711 W Devon, Park Ridge, Illinois |
| Authorized Official Name and Position | Anthony A Grande (PRESIDENT) |
| Authorized Official Contact | 8476963176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Gastroenterology 711 W Devon Park Ridge IL 60068-4713 Ph: (847) 696-3176 | North Suburban Gastroenterology 711 W Devon Park Ridge IL 60068-4713 Ph: (847) 696-3176 |
| NPI Number | 1114037041 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 5698678639 |
|---|---|
| Medicare Enrollment ID | O20040128000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114037041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michelle M Lipman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376548289 PECOS PAC ID: 0143260836 Enrollment ID: I20050512000323 |
| Provider Name | Anthony A Grande |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477558377 PECOS PAC ID: 5799688735 Enrollment ID: I20101018001298 |
| Provider Name | Jeffrey T Brasky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891976981 PECOS PAC ID: 3274712484 Enrollment ID: I20110120000222 |
Park Ridge Center For Plastic Surgery Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 N. Northwest Hwy, Park Ridge, IL 60068 Phone: 847-696-9900 Fax: 847-696-9913 | |
Advocate Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-2400 Fax: 847-318-2414 | |
Maine East School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Dempster St, Park Ridge, IL 60068 Phone: 847-825-4058 Fax: 847-825-4060 | |
Primary Care Of Illinois, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1550 N Northwest Hwy, Suite 211, Park Ridge, IL 60068 Phone: 847-768-9300 Fax: 847-768-9393 | |
Apex Weight Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 556 Busse Hwy, Park Ridge, IL 60068 Phone: 708-797-3541 | |
Presence Immediate Care - Park Ridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S Northwest Hwy, Suite 120, Park Ridge, IL 60068 Phone: 847-292-5200 Fax: 847-292-5239 |