NPIMap

Organization Active NPI

Gastroenterology Services Endoscopy Suite, LTD

  • Endoscopy Clinic/Center
  • Downers Grove, IL
National Provider Identifier
1083972624
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
6827 782 5 Issued in IL
Legal business name
GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD
Practice address
3825 Highland Ave Ste 203
Downers Grove, IL 60515-1561
Phone
(630) 969-1167
Fax
(630) 969-1297
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. David Philip Gerard, MDNPI 1942312210
Title
President
Phone
(630) 969-1167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 6827 782 5 IL Primary

Addresses

Primary practice location

3825 Highland Ave Ste 203
Downers Grove, IL 60515-1561

Mailing address

3825 Highland Ave Ste 203
Downers Grove, IL 60515-1561
Phone (630) 969-1167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1083972624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151561",
            "telephone_number": "630-969-1167",
            "fax_number": "630-969-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151561",
            "telephone_number": "630-969-1167",
            "fax_number": "630-969-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-969-1167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "IL",
            "license": "6827 782 5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.