AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER NPI 1629332226

NPI Information

  • NPI: 1629332226
  • Provider Name: AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 14D2096020
  • Address: 2631 WILLIAMSBURG AVE STE 301
    GENEVA, IL
    ZIP 60134
  • Phone: (630) 232-2025

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NPI Details

AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER is an ambulatory surgical clinic center in Geneva, IL. AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER NPI is 1629332226. The provider is registered as an organization entity type.

The provider's business location address is:

2631 WILLIAMSBURG AVE STE 301
GENEVA, IL
ZIP 60134-127
Phone: (630) 232-2025

The provider's authorized official is Tarun Mullick .
The authorized official title is Medical Director and has the following contact phone number (630) 232-2025.

The CLIA number assigned to this NPI record is 14D2096020 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2012 and was last updated on 6/28/2012.

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
1261QA1903XClinic/CenterAmbulatory SurgicalILLINOISYes

What is NPI?

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This page was last updated on: 3/30/2025

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