Active NPI
American Colonoscopy and Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Geneva, IL
National Provider Identifier
1629332226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2012
- 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
- Dr. Tarun Mullick, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Gastroenterology Physician
- Chandler, AZ
- NPI 1912906462
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.