Organization · NPI-2

Advanced Liver And Gastrointestinal Disease Center LLC

Internal Medicine, Gastroenterology · Berwyn, IL

NPI number1841552999
StatusActive
Last updated in NPPESJul 17, 2023

Details

NPI
1841552999
Entity type
Organization (NPI-2)
Legal business name
Advanced Liver And Gastrointestinal Disease Center LLC
Organization subpart
No
Enumeration date
Jun 14, 2012
Certification date
Jul 17, 2023
Last updated
Jul 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, GastroenterologyIL036096121ILYes
207RI0008X Internal Medicine, HepatologyIL036096121IL

Practice location

3245 Grove Ave
Berwyn, IL 60402-3474

Phone 414-236-7224 · Fax 708-290-1014

Mailing address

401 E Ontario St
Suite#4005
Chicago, IL 60611-3051

Phone 312-573-1633

Authorized official

David H Vanthiel
President
3125731633

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine, Gastroenterology providers in Berwyn, IL