Gastroenterology and Liver Disease Associates LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY AND LIVER DISEASE ASSOCIATES LLC

Practice address

7900 N Milwaukee Ave
Suite 19
Niles, IL 60714-3159

Phone

(847) 318-9595

Fax

(847) 318-9599

NPI assigned

Dec 1, 2006

Last updated

Oct 26, 2007By 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

Marc S Fine, MDNPI 1720172729

Title

Managing Partner Doctor

Phone

(847) 318-9595

Specialties & licenses 1

Addresses

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.

• Marc Fine, MD

  • Gastroenterology Physician
  • Niles, IL
  • NPI 1720172729
  Authorized official Same address or phone
• Dean Silas, MD

  • Gastroenterology Physician
  • Niles, IL
  • NPI 1093809089
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1760550495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 19",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-318-9595",
            "fax_number": "847-318-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 19",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-318-9595",
            "fax_number": "847-318-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND LIVER DISEASE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PARTNER DOCTOR",
        "authorized_official_telephone_number": "847-318-9595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Mae Frisby
• Amy Michelle Fritz
• Debra Bell Garber, M.A. CCC-A
• Gelsy Garcia
• Marcia Garrison, M.S, CCC-SLP
• Earl Vincent Gatdula, PHARMD
• Tricia Martin Gatia, PT, DPT
• Joseph John Gatza, D.C.
• GB Bodywork
• Generation Vein Clinic LLC

• Gastroenterology Physician in Niles, IL
• Providers in Niles, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.