SPECIALISTS IN GASTROENTEROLOGY (NPI# 1184630915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184630915 |
| Entity Type | Organization |
| Organization Name | SPECIALISTS IN GASTROENTEROLOGY |
| Practice Address |
1710 N Randall Rd Suite 280 Elgin IL 60123-9400 |
| Practice Telephone | 8479317550 |
| Mailing Telephone | 8479317550 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DR. DEEPAK KHURANA (PRESIDENT) |
| Authorized Official Telephone | 8479317550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036057728 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | CE8824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
| Street Address |
1710 N RANDALL RD SUITE 280 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398218 | Gulzar Fidai | Internal Medicine | 1710 N Randall Rd, 380, Elgin, IL 60123-4902 | 2005-06-30 |
| 1992285613 | Chul Jong David Kim | Physical Therapist | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2018-08-21 |
| 1992234306 | Lorin Gene Brody | Nurse Practitioner | 1710 N Randall Rd, 160, Elgin, IL 60123 | 2017-06-08 |
| 1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
| 1821549064 | Amanda Robinson | Physician Assistant | 1710 N Randall Rd, 160, Elgin, IL 60123-9400 | 2016-10-24 |
| 1710330154 | Jordan Altieri | Physical Therapy Assistant | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-07-21 |
| 1902263486 | Lisa Gallagher | Counselor | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-01-28 |
| 1669888558 | Jennifer Chang | Physician Assistant | 1710 N Randall Rd, Suite #160, Elgin, IL 60123-9400 | 2014-07-11 |
| 1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
| 1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154433266 | Tim Zahur Hossain | Internal Medicine | 745 Fletcher Dr Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1093964116 | Sonia Shailesh Godambe | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2008-09-12 |
| 1083836027 | Rajesh S Pillai | Internal Medicine | 745 Fletcher Drive, Elgin, IL 60123-4749 | 2007-05-02 |
| 1265512164 | William Levis | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2006-10-16 |
| 1932291101 | Elgin Gastroenterology Sc | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123-4747 | 2006-09-28 |
| 1093827107 | Lawrence R Kosinski | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1982716098 | Sunil T Joseph | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1437261450 | Joseph Losurdo | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1407968514 | James G Stinneford | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1801832167 | Gregory R Gambla | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123-4747 | 2006-06-22 |
| Find all providers in ELGIN | ||||
Please comment or provide details below to improve the information on SPECIALISTS IN GASTROENTEROLOGY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.