Center for Pediatric Gastroenterology & Nutrition MDSC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC

Practice address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Phone

(708) 684-5650

Fax

(708) 684-4446

NPI assigned

Nov 1, 2006

Last updated

Apr 20, 2008By 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

Rajeev Nagpal, MDNPI 1396731329

Title

President

Phone

(708) 684-5650

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajeev Nagpal, MD

  • Pediatric Gastroenterology Physician
  • Oak Lawn, IL
  • NPI 1396731329
  NPD (past) Authorized official
• Christopher J Smith, MD

  • Pediatric Gastroenterology Physician
  • Oak Lawn, IL
  • NPI 1841214624
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629155718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5650",
            "fax_number": "708-684-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NAGPAL",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-684-5650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS ID",
            "identifier": "23300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC PROVIDER ID",
            "identifier": "01605334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cazares
• Marc A. Cecchini, P.T.
• Nina Maria Censoplano, D.O.
• Center for Internal Medicine Inc.
• Center for Outpatient Alcoholism Treatment (D/BA Project C.O.A.T.)
• Center for Psychological Services - Oak Lawn LTD
• Center for Psychological Services,LTD
• Center for Psychological Wellness P.C.
• Stephanie Cerveny
• Justin Chacko, MD

• Pediatric Gastroenterology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatric Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.