Illinois Gastroenterology and Hepatology

Key facts

NPI

1689965477

Entity type

Organization (NPI type 2)

Primary specialty

Gastroenterology Physician 207RG0100X

Legal business name

ILLINOIS GASTROENTEROLOGY AND HEPATOLOGY

Practice address

3740 W North Ave
Chicago, IL 60647-4727

Phone

(630) 889-9889

Fax

(630) 889-8977

NPI assigned

Apr 27, 2011

Organization subpart

No

Authorized official

Name

Dr. David C Chua, M.D. NPI 1346241585

Title

President

Phone

(630) 889-9889

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• David C Chua, MD Gastroenterology Physician · Oakbrook Terrace, IL · NPI 1346241585
  NPD (past) Authorized official GASTROENTEROLOGY
• Stephanie Leopold Certified Registered Nurse Anesthetist · Chicago, IL · NPI 1326317512
  NPD (past)
• Rajeev Nayar, MD Gastroenterology Physician · Milwaukee, WI · NPI 1346217023
  NPD (past) GASTROENTEROLOGY

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2011.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1689965477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE",
            "address_2": "COURT A",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813984",
            "telephone_number": "630-889-9889",
            "fax_number": "630-889-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474727",
            "telephone_number": "630-889-9889",
            "fax_number": "630-889-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS GASTROENTEROLOGY AND HEPATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-889-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Chicago, IL · Gastroenterology Physician in Illinois