All Gastro LTD.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

36081816 Issued in IL

Legal business name

ALL GASTRO LTD.

Practice address

600 S 13TH St
Suite J
Pekin, IL 61554-4936

Phone

(309) 310-6760

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Ann Fisk

Title

Office Manager

Phone

(309) 531-2599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1609235944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WOODBINE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042813",
            "telephone_number": "309-310-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE J",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-310-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL GASTRO LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-531-2599"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "36081816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajr Diagnostics, LLC
• Ajr Diagnostics, LLC
• Rebecca A Ala, LCSW
• Alan Burge DDS
• Elena Alcozer
• Jamaluddin F Amanullah, M.D.
• Kathryn Andersen
• Stacey Andersen
• J. Douglas Anderson, PT
• Molly Bea Anderson, M. A.

• Gastroenterology Physician in Pekin, IL
• Providers in Pekin, 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 15, 2016; 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.