Center for Gastroenterology and Nutrition, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

336-062256 Issued in IL

Legal business name

CENTER FOR GASTROENTEROLOGY AND NUTRITION, LLC

Practice address

9669 Kenton Ave
Suite 306
Skokie, IL 60076-1266

Phone

(847) 674-7501

Fax

(847) 674-7512

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alan Buchman, MD

Title

Director

Phone

(847) 674-7501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1407287352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 306",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-674-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE",
            "address_2": "SUITE 306",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761266",
            "telephone_number": "847-674-7501",
            "fax_number": "847-674-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR GASTROENTEROLOGY AND NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "BUCHMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-674-7501",
        "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": "336-062256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ccaa LLC
• Anthony Celsi, R.PH.
• Ann Marie Censotti, LCSW
• Gloria C Centeno, BS
• Center for Contextual Change
• David Center, DDS
• Victoria Jean Ceo, LCSW
• Daniel Cha, MD
• Jeslyn Chamakalayil Joseph, PA-C
• Michelle L Chambers, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.