Organization Active NPI

Gastroenterology Clinics SC

  • Gastroenterology Physician
  • Aurora, IL
National Provider Identifier
1285857805
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036085150 Issued in IL
Legal business name
GASTROENTEROLOGY CLINICS SC
Practice address
581 W Sullivan Rd
Suite a
Aurora, IL 60506-1443
Phone
(630) 560-1115
Fax
(630) 906-7200
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Dr. Mohammed Asif Mahkri, MD
Title
Owner
Phone
(630) 560-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 036085150 IL Primary

Addresses

Primary practice location

581 W Sullivan Rd
Suite a
Aurora, IL 60506-1443

Mailing address

581 W Sullivan Rd
Suite a
Aurora, IL 60506-1443
Phone (630) 560-1115

Other identifiers 1

IdentifierTypeStateIssuer
036085150MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1285857805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 W SULLIVAN RD",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061443",
            "telephone_number": "630-560-1115",
            "fax_number": "630-906-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 W SULLIVAN RD",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061443",
            "telephone_number": "630-560-1115",
            "fax_number": "630-906-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CLINICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "MAHKRI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-560-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036085150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085150",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.