Organization Active NPI

Gi Partners of Illinois, LLC

  • Gastroenterology Physician
  • Bourbonnais, IL
National Provider Identifier
1871093047
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI PARTNERS OF ILLINOIS, LLC
Practice address
1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Phone
(815) 602-8253
Fax
(815) 937-2063
NPI assigned
Feb 14, 2018
Organization subpart
Yes
Parent organization
GI PARTNERS OF ILLINOIS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina O'Connor
Title
Administrator
Phone
(815) 602-8253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081

Mailing address

1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Phone (815) 602-8253

National Provider Directory

National Provider Directory
Part of
Gi Partners of Illinois LLC

Locations

1615 N Convent St
Ste 1
Bourbonnais, IL 60914
Phone (815) 602-8253

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1871093047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-602-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N CONVENT ST STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141081",
            "telephone_number": "815-602-8253",
            "fax_number": "815-937-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI PARTNERS OF ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GI PARTNERS OF ILLINOIS, LLC",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-602-8253"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.