Active NPI
North Suburban Gastroenterology
- Gastroenterology Physician
- Park Ridge, IL
National Provider Identifier
1114037041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NORTH SUBURBAN GASTROENTEROLOGY
- Practice address
- 711 W Devon
Park Ridge, IL 60068-4713 - Phone
- (847) 696-3176
- Fax
- (847) 696-2678
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony A Grande, M.D.
- Title
- President
- Phone
- (847) 696-3176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
711 W Devon
Park Ridge, IL 60068-4713
Mailing address
711 W Devon
Park Ridge, IL 60068-4713
Phone (847) 696-3176
National Provider Directory
National Provider DirectoryLocations
7447 W Talcott Ave
Ste 358
Chicago, IL 60631
Phone (773) 774-7227
950 N Northwest Hwy
Park Ridge, IL 60068
Phone (847) 696-3176
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Park Ridge, IL
- NPI 1023014552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1114037041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W DEVON",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684713",
"telephone_number": "847-696-3176",
"fax_number": "847-696-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W DEVON",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684713",
"telephone_number": "847-696-3176",
"fax_number": "847-696-2678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SUBURBAN GASTROENTEROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "GRANDE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-696-3176",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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 Park Ridge, IL
- Michael Brendan Noone, MD
- Ahmed Noreddin, MD,MPH
- Richard L. Noren, M.D.
- North Park Clinic, S.C.
- North Shore Healthcare, Inc
- North Suburban Therapy, Inc.
- North Suburban Vision Consultants,LTD.
- Northwest Center for Physical Therapy
- Northwest Medical Center S.C.
- Northwest Obstetrics & Gynecological Associates, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.