Active NPI
Kgo Gi Inc
- Endoscopy Clinic/Center
- Chicago, IL
National Provider Identifier
1457410094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- KGO GI INC
- Practice address
- 3004 N Ashland Ave
Chicago, IL 60657-3012 - Phone
- (773) 871-4600
- NPI assigned
- Dec 8, 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
- Mrs. Linda Ghazanfari
- Title
- RN Manager
- Phone
- (773) 871-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
3004 N Ashland Ave
Chicago, IL 60657-3012
Mailing address
3004 N Ashland Ave
Chicago, IL 60657-3012
Phone (773) 871-4600
Other names 1
- KGO-GI, INC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1457410094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573012",
"telephone_number": "773-871-4600"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KGO GI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "GHAZANFARI",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "RN MANAGER",
"authorized_official_telephone_number": "773-871-4600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KGO-GI, INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.