NPIMap

Organization Active NPI

Hinsdale Gastroenterology Associates, SC

  • Gastroenterology Physician
  • Hinsdale, IL
National Provider Identifier
1073628046
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HINSDALE GASTROENTEROLOGY ASSOCIATES, SC
Practice address
12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605
Phone
(630) 789-2260
Fax
(630) 789-8540
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janine Smolenski
Title
Practice Manager
Phone
(630) 789-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605

Mailing address

12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8605
Phone (630) 789-2260

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0934031Hinsdale Gastroenterology Associates SC12 Salt Creek LN, Ste 425, Hinsdale, IL 60521Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

12 Salt Creek Ln
Ste 200
Hinsdale, IL 60521

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1073628046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 425",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-789-2260",
            "fax_number": "630-789-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN",
            "address_2": "SUITE 425",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218605",
            "telephone_number": "630-789-2260",
            "fax_number": "630-789-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE GASTROENTEROLOGY ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "SMOLENSKI",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-789-2260"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.