PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC


Address: 1225 W Lake St, Suite 409, Melrose Park, IL 60610
Phone: 7084997510

PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC (NPI# 1336323484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336323484
Entity Type Organization
Organization Name PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC
Practice Address 1225 W Lake St
Suite 409
Melrose Park
IL 60610
Mailing Address 47 W Division St Unit 142
Chicago
IL 60610-2220
Practice Telephone 7084997510
Practice Fax Number 7083450332
Mailing Telephone 7084997510
Mailing Fax Number 7083450332
Enumeration Date 2007-12-26
Last Update Date 2011-06-13
Authorized Official Name GLORIA BUENTELLO (MD)
Authorized Official Telephone 7084997510
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
1000155902 IN Allopathic & Osteopathic Physicians
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
036062537 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1225 W LAKE ST
SUITE 409
City MELROSE PARK
State IL
Zip Code 60610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578562351 Manuel C. Iglesias Internal Medicine 1225 W Lake St, Melrose Park, IL 60160-4039 2005-07-14
1376190975 Tomas A Estacio Physical Therapist 1225 W Lake St, Melrose Park, IL 60160-4039 2019-08-20
1326511619 Pipeline - Lakefront Medical Associates, LLC Preventive Medicine 1225 W Lake St, Melrose Park, IL 60160-4039 2019-01-09
1205308756 Cassadana Kirk Physician Assistant 1225 W Lake St, Melrose Park, IL 60160-4039 2018-12-21
1699241612 Pipeline-westlake Hospital, LLC Rehabilitation Unit 1225 W Lake St, Melrose Park, IL 60160-4039 2018-10-17
1780150714 Pipeline-westlake Hospital, LLC Psychiatric Unit 1225 W Lake St, Melrose Park, IL 60160-4039 2018-10-17
1609341320 Pipeline-westlake Hospital, LLC General Acute Care Hospital 1225 W Lake St, Melrose Park, IL 60160-4039 2018-10-09
1740772003 Megan Leigh Peterson Speech-Language Pathologist 1225 W Lake St, Melrose Park, IL 60160-4039 2018-06-03
1164923728 Lindsay Smaron Speech-Language Pathologist 1225 W Lake St, Melrose Park, IL 60160-4039 2018-02-27
1033624937 Sarah Benning Occupational Therapist 1225 W Lake St, Melrose Park, IL 60160-4039 2017-12-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326683145 Roslyn M Jordan Counselor 860 N. Lasalle, Chicago, IL 60610 2019-11-15
1992278196 Deangela Roberson Specialist/Technologist, Other 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 2019-01-10
1477053205 Terri Lynn Tyson Counselor 1250 N. Dearborn St., 18b, Chicago, IL 60610 2018-02-19
1487153797 Jennifer Quinn Social Worker 1200 N. Lasalle Street, Chicago, IL 60610 2018-02-02
1811415334 Erin Conroy Behavioral Analyst 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 2017-09-05
1659898674 Courtney Jane Busing Speech-Language Pathologist 1211 N Lasalle, 903, Chicago, IL 60610 2017-08-30
1528503042 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 908 North State Street, Chicago, IL 60610 2016-12-20
1548702814 Melissa Snyder Counselor 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 2016-11-17
1982146908 Samantha Ruth Slagh Physical Therapist 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 2016-11-08
1891242426 Stephanie Pinsler Counselor 100 W Chestnut, #1907, Chicago, IL 60610 2016-09-01
Find all providers in zip 60610

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518977875 Gloria Buentello Pediatrics 1225 W Lake St., Suite 409, Melrose Park, IL 60160 2006-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578799482 Tiffany J. Patton Pediatrics 5839 S. Maryland Ave., Wyler C-474, Mc 4065, Chicago, IL 60637-1470 2009-06-05
1982860755 Joshua Prozialeck Pediatrics 225 E Chicago Ave # 65, Chicago, IL 60611-2991 2008-07-31
1881866259 Lee Michael Bass Pediatrics 2300 N Childrens Plz # 65, Chicago, IL 60614-3363 2008-03-26
1457578023 Nancy M. Mcgreal Pediatrics 5839 S. Maryland Avenue, Mc 4065, Chicago, IL 60637 2007-04-18
1649300385 Barbara S. Kirschner Pediatrics University of Chicago, Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 2007-03-06
1679603302 Stefano Guandalini Pediatrics University of Chicago, Section of Peds Gastro, 5839 South Maryland Avenue, Mc 4065, Chicago, IL 60637-1470 2007-03-06
1972611234 Valeria C Cohran Pediatrics 2300 Children's Plaza, Box 65, Children's Memorial Hospital, Chicago, IL 60614-3394 2006-08-28
1598726432 Timothy A Sentongo Pediatrics 5839 S. Maryland Ave, Mc 4065, Chicago, IL 60637 2006-03-30
1306806518 Christopher Mullett Pediatrics 420 Ne Glen Oak Avenue, Ste 401, Peoria, IL 61603 2006-03-23
1588650139 Suzanne P Nelson Pediatrics 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 2005-09-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City MELROSE PARK
Zip Code 60610

Improve Information

Please comment or provide details below to improve the information on PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC.

Dataset Information

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.

Trending Searches