Organization Active NPI

American Colonoscopy and Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Geneva, IL
National Provider Identifier
1629332226
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER
Practice address
2631 Williamsburg Ave Ste 301
Geneva, IL 60134-1127
Phone
(630) 232-2025
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Tarun Mullick, M.D.NPI 1912906462
Title
Medical Director
Phone
(630) 232-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X IL Primary

Addresses

Primary practice location

2631 Williamsburg Ave Ste 301
Geneva, IL 60134-1127

Mailing address

2631 Williamsburg Ave Ste 301
Geneva, IL 60134-1127
Phone (630) 232-2025

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1629332226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE STE 301",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341127",
            "telephone_number": "630-232-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE STE 301",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341127",
            "telephone_number": "630-232-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN COLONOSCOPY AND ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "MULLICK",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-232-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.