Center for Digestive Health

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7002876 Issued in IL

Legal business name

CENTER FOR DIGESTIVE HEALTH

Practice address

1615 N Convent St
Bourbonnais, IL 60914-1092

Phone

(815) 936-1700

NPI assigned

May 19, 2006

Organization subpart

No

Name

Mrs. Christina O'Connor

Title

Administrator

Phone

(815) 937-5200

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Medical Center - Aurora LLC

  • Community/Retail Pharmacy
  • Aurora, IL
  • NPI 1215025762

  Member Of

  NPD member
• Riverside Medical Center

  • Home Health Agency
  • Peotone, IL
  • NPI 1740346451

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Sutherland, M.D.

  • Gastroenterology Physician
  • Bourbonnais, IL
  • NPI 1619976909
  NPD (past)

Listed as

Center for Digestive HealthCCN 14C0001109

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2024.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1619920501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141092",
            "telephone_number": "815-936-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141092",
            "telephone_number": "815-936-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIGESTIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-937-5200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50356",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Eugene Carlson, FNP-BC
• Carrie Spitalli, Psy.D., P.C.
• Isaac Casas, RD, LDN
• Corinna Marlene Castanon, LSW
• Kaitlain Cavender
• Ritu Chandan, D.O.
• Robert Felix Chavez, D.D.S
• David Orin Cherry
• Chicago Hearing LLC
• Victoria L Chilo

• All providers in Bourbonnais, IL
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.