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CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC NPI 1629155718


NPI Information

NPI: 1629155718
Provider Name: CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC
Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-5650
Get Directions

CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC is a pediatric gastroenterology pediatrics in Oak Lawn, IL. The provider is a pediatrician who 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. CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC NPI is 1629155718. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-5650
Fax: (708) 684-4446

The provider's authorized official is Rajeev Nagpal .
The authorized official title is President and has the following contact phone number (708) 684-5650.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101605334OTHERILLINOISBCBC PROVIDER ID
2=========01OTHERILLINOISADVOCATE HLTH CENTERS ID
323300OTHERILLINOISADVOCATE HLTH PARTNERS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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