Pediatric And Adolescent Gastroenterology Group Inc
Pediatric Gastroenterology
Pediatric And Adolescent Gastroenterology Group Inc is a Melrose Park, Illinois based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
1225 W Lake St, Suite 409, Melrose Park, Illinois - 60610. They can be contacted on phone at
708-499-7510 and fax number 708-345-0332.
NPI number (Unique professional ID) for Pediatric And Adolescent Gastroenterology Group Inc is
1336323484 which was assigned by NPPES on 26 Dec, 2007 and it was last updated on 13 Jun, 2011.
Pediatric And Adolescent Gastroenterology Group Inc license number is
036062537 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Illinois.
Pediatric And Adolescent Gastroenterology Group Inc specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Pediatric And Adolescent Gastroenterology Group Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Pediatric And Adolescent Gastroenterology Group Inc |
|---|
Business Address:
Pediatric And Adolescent Gastroenterology Group Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1225 W Lake St, Suite 409
Melrose Park, IL, 60610
United States |
|---|
| Phone Number : | 708-499-7510 |
|---|
| Fax Number : | 708-345-0332 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336323484 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 26 Dec, 2007 |
|---|
| Last Updated On : | 13 Jun, 2011 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Gloria Buentello |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | MD |
|---|
| Phone Number : | 708-499-7510 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric And Adolescent Gastroenterology Group Inc are as mentioned. Primary taxonomy code for Pediatric And Adolescent Gastroenterology Group Inc is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 1000155902 | IN |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 036062537 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 47 W Division St Unit 142
Chicago, IL, 60610-2220
United States |
|---|
| Phone Number : | 708-499-7510 |
|---|
| Fax Number : | 708-345-0332 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric And Adolescent Gastroenterology Group Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.