DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC


Address: 1615 N. Convent St, Ste 1, Bourbonnais, IL 60914
Phone: 8159375200

DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC (NPI# 1407966302) 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) 1407966302
Entity Type Organization
Organization Name DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC
Practice Address 1615 N. Convent St
Ste 1
Bourbonnais
IL 60914
Practice Telephone 8159375200
Practice Fax Number 8159372063
Mailing Telephone 8159375200
Mailing Fax Number 8159372063
Enumeration Date 2006-08-30
Last Update Date 2011-11-21
Authorized Official Name MRS. CHRISTINA M O'CONNOR (ADMINISTRATOR)
Authorized Official Telephone 8156028253
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 1407966302 05

Office Location

Street Address 1615 N. CONVENT ST
STE 1
City BOURBONNAIS
State IL
Zip Code 60914

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648023 Jacob Daniel Ledesma Physical Therapist 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 2020-10-30
1467069823 Alicia Nicole Kendra Nurse Practitioner Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 2020-09-29
1043860877 Victor Manuel Vazquez Cervantes Pharmacist 2080 No, Il-50, Bourbonnais, IL 60914 2019-09-13
1740843267 Panoptic Physical Therapy LLC Physical Medicine & Rehabilitation 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 2019-04-19
1770074577 Colin P Koerner Physical Therapist 215 N Convent St Ste 6, Bourbonnais, IL 60914 2018-05-29
1306337340 Megan Hoskins Behavior Technician 3187 N 2420 W Rd., Bourbonnais, IL 60914 2018-05-25
1932600459 Thomas H George Dds PC Clinic/Center 14 Briarcliff Professional Center, Bourbonnais, IL 60914 2018-02-21
1780193904 Kathleen M Saindon II Speech-Language Pathologist 1021 Deer Trail, Bourbonnais, IL 60914 2017-09-20
1457870206 Janet Mary Notton Speech-Language Pathologist 920 W Margaret Lane, Bourbonnais, IL 60914 2017-09-13
1134646375 Sagar Batish Student in an Organized Health Care Education/Training Program 1096 Country Lane, Bourbonnais, IL 60914 2017-08-28
Find all providers in zip 60914

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780847384 Ashish Rajesh Shah Internal Medicine 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 2008-07-03
1710984224 Syed Bokhari Internal Medicine 1615 N Convent St, Ste. 1, Bourbonnais, IL 60914-1092 2005-06-30
1871093047 Gi Partners of Illinois, LLC Internal Medicine 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 2018-02-14
1174968846 Krupa Mahesh Shah Internal Medicine 1615 N Convent St Ste 1, Bourbonnais, IL 60914-1081 2013-05-07
1285863308 Matthew Kaplan Internal Medicine 1615 N Convent St, Bourbonnais, IL 60914-1081 2009-07-10
1568649382 Nikhil Bhargava Internal Medicine 1615 N Convent St, Ste. 1, Bourbonnais, IL 60914-1081 2008-01-23
1558460022 Brian C Sasso Internal Medicine 1615 N Convent St, Ste 1, Bourbonnais, IL 60914 2006-09-21
1689662975 Daniel Errampalli Internal Medicine 1615 N Convent St, Bourbonnais, IL 60914-1092 2005-10-11
1760470033 Thomas O'connor Internal Medicine 1615 N Convent St, Bourbonnais, IL 60914-1092 2005-10-11
1619976909 David B Sutherland Internal Medicine 1615 N Convent St, Bourbonnais, IL 60914-1092 2005-07-19
Find all providers in BOURBONNAIS

Competitor

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City BOURBONNAIS
Zip Code 60914

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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.

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