Ashland Avenue Gi, S.C.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ASHLAND AVENUE GI, S.C.

Practice address

3004 N Ashland Ave
Chicago, IL 60657

Phone

(773) 871-4600

Fax

(773) 871-2900

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Keikhosrow Ghazanfari, M.D.

Title

President

Phone

(773) 871-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1962781252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573012",
            "telephone_number": "773-871-4600",
            "fax_number": "773-871-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-871-4600",
            "fax_number": "773-871-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND AVENUE GI, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "GHAZANFARI",
        "authorized_official_first_name": "KEIKHOSROW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-871-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauryn Jaela Ashford, MD
• Rashidat A Ashimi, DO
• Emmanuel Ashinze, PHARMD
• Paul Ashkenaz, D.D.S.,M.S.
• Julia E Ashkinazi, MD
• Ashland Dental Inc.
• Ashland Medical Specialist Inc
• Ashley Frank
• Ashley Frer D.C. LTD
• Ashley Hartman LCSW

• Endoscopy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Endoscopy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.