Active NPI
Jorge A Aliaga, M.D.
- Gastroenterology Physician
- Niles, IL
National Provider Identifier
1013019504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Practice address
- 241 Golf Mill Ctr
728
Niles, IL 60714-1224 - Phone
- (847) 635-7840
- Fax
- (847) 635-6491
- NPI assigned
- Sep 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | IL | Primary |
Addresses
Primary practice location
241 Golf Mill Ctr
728
Niles, IL 60714-1224
Mailing address
241 Golf Mill Ctr
728
Niles, IL 60714-1224
Phone (847) 635-7840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036046807 | IL | MD | Gastroenterology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013019504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 GOLF MILL CTR",
"address_2": "728",
"city": "NILES",
"state": "IL",
"postal_code": "607141224",
"telephone_number": "847-635-7840",
"fax_number": "847-635-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 GOLF MILL CTR",
"address_2": "728",
"city": "NILES",
"state": "IL",
"postal_code": "607141224",
"telephone_number": "847-635-7840",
"fax_number": "847-635-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIAGA",
"first_name": "JORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.