Active NPI
Gastroenterology and Internal Medicine Specialists, S.C.
- Gastroenterology Physician
- Lake Barrington, IL
National Provider Identifier
1942359161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY AND INTERNAL MEDICINE SPECIALISTS, S.C.
- Practice address
- 22285 Pepper Rd.
#311
Lake Barrington, IL 60010 - Phone
- (847) 382-4410
- Fax
- (847) 382-4451
- NPI assigned
- Jan 9, 2007
- 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
- Dr. Philip Nagel, MD
- Title
- President
- Phone
- (847) 382-4410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | IL | Primary |
Addresses
Primary practice location
22285 Pepper Rd.
#311
Lake Barrington, IL 60010
Mailing address
22285 Pepper Rd.
#311
Lake Barrington, IL 60010
Phone (847) 382-4410
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1942359161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22285 PEPPER RD.",
"address_2": "#311",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-382-4410",
"fax_number": "847-382-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22285 PEPPER RD.",
"address_2": "#311",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "60010",
"telephone_number": "847-382-4410",
"fax_number": "847-382-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY AND INTERNAL MEDICINE SPECIALISTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "NAGEL",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-382-4410",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.