Gastroenterology Associates SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOCIATES SC

Practice address

3004 N Ashland Ave
Chicago, IL 60657-3012

Phone

(773) 871-4600

Fax

(773) 871-2900

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Frank J Konicek, MD

Title

President

Phone

(773) 871-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1104815018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E DUNDEE RD",
            "address_2": "GASTROENTEROLOGY & ASSOCIATES SC",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903009",
            "telephone_number": "847-520-0235",
            "fax_number": "847-520-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573012",
            "telephone_number": "773-871-4600",
            "fax_number": "773-871-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KONICEK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-871-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrien Lance Gaston, M.D.
• Gina Blanche Gaston, MSW, PHD, LCSW
• Ian Gaston
• Jocelyn Gaston
• Tracey L Gaston, DDS
• Gastroenterology Solutions, S.C.
• Jae Gatchalian
• Brittany Lauren Gatchell, LCSW
• Abbey Storey Gately, CRC, LCPC
• Gates of Hope Professional Corporation

• Gastroenterology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.