Active NPI
Illinois Digestive and Liver Disease Specialists LTD
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1891336053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ILLINOIS DIGESTIVE AND LIVER DISEASE SPECIALISTS LTD
- Practice address
- 2222 W Division St Ste 220
Chicago, IL 60622-3094 - Phone
- (773) 883-0800
- NPI assigned
- Sep 30, 2019
- Last updated
- Nov 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amritbhai Patel, MD
- Title
- Ceo
- Phone
- (773) 883-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2222 W Division St Ste 220
Chicago, IL 60622-3094
Mailing address
2222 W Division St Ste 220
Chicago, IL 60622-3094
Phone (773) 883-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1134294853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572998400000",
"number": "1891336053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST STE 220",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223094",
"telephone_number": "773-883-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST STE 220",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223094",
"telephone_number": "773-883-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS DIGESTIVE AND LIVER DISEASE SPECIALISTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-30",
"last_updated": "2019-11-06",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMRITBHAI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-883-0800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Illinois Gastroenterology and Hepatology
- Illinois Health Partners LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.