Advanced Liver and Gastrointestinal Disease Center LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

IL036096121 Issued in IL

Legal business name

ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER LLC

Practice address

3245 Grove Ave
Berwyn, IL 60402-3474

Phone

(414) 236-7224

Fax

(708) 290-1014

NPI assigned

Jun 14, 2012

Last updated

Jul 17, 2023By 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

Dr. David H Vanthiel, MDNPI 1447367479

Title

President

Phone

(312) 573-1633

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Advanced Liver and Gastrointestinal Disease Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Liver and Gastrointestinal Disease Center

  • Hepatology Physician
  • Oak Park, IL
  • NPI 1881958106
  NPD tax ID

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.

• David H Vanthiel, MD

  • Gastroenterology Physician
  • Berwyn, IL
  • NPI 1447367479
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1841552999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ONTARIO ST",
            "address_2": "SUITE#4005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113051",
            "telephone_number": "312-573-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474",
            "telephone_number": "414-236-7224",
            "fax_number": "708-290-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "VANTHIEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-573-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "IL036096121",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "IL",
            "license": "IL036096121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carmina Aguilar, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.