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

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, MD

Title

Managing Partner Doctor

Phone

(847) 318-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CJ6281",
            "state": "IL"
        }
    ],
    "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.