Elgin Gastroenterology Endoscopy Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Elgin, IL
NPI 1992875454 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1992875454
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 1710262 (IL)
- Legal business name
- ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER LLC
- Practice address
- 745 Fletcher Dr FL 2
Elgin, IL 60123-4747 - Phone
- (847) 888-1300
- Fax
- (847) 888-1341
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Carrie Lynn Lawlor
- Title
- Administrator
- Phone
- (847) 888-5711
Member of 1
Practitioners 244
-
Simon M Adanin, D.O.
-
Douglas R Adler, MD
-
Julius Chucks Ajide, CRNA
-
Niraj K Ajmere, M.D.
-
Nadi Akileh, DNP
-
Rabiatu Al-Hassan, CRNA
-
Zarinah Ali-Burford, CRNA
-
David Joseph Altman, M.D.
-
Esther Jin An, CRNA
-
Thomas Arndt, MD
-
Aysha Aslam, MD
-
Darren Ballard, M.D.
-
Amory S Balucating, MS, CCRN, CRNA, APN
-
Kenneth A. Bartman Jr., CRNA
-
Robert Bartolone, D.O.
-
Kenneth R Beck, MD
-
Mitchell Bernsen, M.D.
-
Christine G Bialko, PA-C
-
Ronald A Bloom, MD
-
Erin Dianne Browning, CRNA
-
Jennifer Ann Cahill, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Elgin Gastroenterology Endoscopy Center LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060320000427 | IL | Part B Supplier - Ambulatory Surgical Center | 0547277303 | Practice locations: Elgin, IL |
National Provider Directory
Locations
62912 Collection Ctr Dr
Chicago, IL 60693
745 Fletcher Dr
Fl 2
Elgin, IL 60123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1710262 | IL | Yes |
Addresses
Primary practice location
745 Fletcher Dr FL 2
Elgin, IL 60123-4747
Mailing address
745 Fletcher Dr Ste 201
Elgin, IL 60123-4749
Phone (847) 888-5712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50438 | Other | IL | BLUE SHIELD |
Other names
- The Endo Center of Elgin Gastroenterology
Other providers in Elgin, IL
- Elgin Endocrinology
- Elgin Eye Care
- Elgin Family Eye Care LLC
- Elgin Family Physicians, SC
- Elgin Foot & Ankle Center, S.C.
- Elgin Gastroenterology SC
- Elgin Internal Medical Associates, S.C.
- Elgin Medi-Transport, Inc.
- Elgin Medical Associates
- Elgin Mental Health Center Brunk 4495
All providers in Elgin, IL · Ambulatory Surgical Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.