LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. (NPI# 1528237765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528237765 |
| Entity Type | Organization |
| Organization Name | LAKESHORE GASTROENTEROLOGY AND LIVER DISEASE INSTITUTE S.C. |
| Practice Address |
1 Erie Court Suite 3100 Oak Park IL 60614-8542 |
| Mailing Address |
Po Box 14905 Chicago IL 60614-8542 |
| Practice Telephone | 7087638248 |
| Practice Fax Number | 7083837875 |
| Mailing Telephone | 7087638248 |
| Mailing Fax Number | 7083837875 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | DR. KAMRAN HEYDARPOUR (OWNER) |
| Authorized Official Telephone | 7087638248 |
| 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 |
336-052655 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036091055 | 05 |
| Street Address |
1 ERIE COURT SUITE 3100 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60614-8542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700801966 | West Suburban Medical Center | Family Medicine | 1 Erie Court, Ste 6160, Oak Park, IL 60302 | 2006-07-12 |
| 1487724852 | West Suburban Gastroenterology S C | Internal Medicine | 1 Erie Court, Ste 3100, Oak Park, IL 60302 | 2006-11-09 |
| 1255354601 | West Suburban Eye Associates LLC | Ophthalmology | 1 Erie Court, Suite 6140, Oak Park, IL 60302 | 2006-07-26 |
| 1558387167 | Pcc Community Wellness Center | Clinic/Center | 1 Erie Court, Ste 6040, Oak Park, IL 60302-2510 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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 |
|---|---|---|---|---|
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1881958106 | Advanced Liver and Gastrointestinal Disease Center | Internal Medicine | 610 South Maple Ave, Oak Park, IL 60304-1091 | 2012-07-02 |
| 1538126396 | Daniel M. Kruss | Internal Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2006-04-27 |
| 1487724852 | West Suburban Gastroenterology S C | Internal Medicine | 1 Erie Court, Ste 3100, Oak Park, IL 60302 | 2006-11-09 |
| 1982627840 | Gayle M Rosenthal | Internal Medicine | 1100 Lake St, Oak Park, IL 60301 | 2006-07-25 |
| 1093764193 | Kamran Heydarpour | Internal Medicine | 1 Erie Ct, Suite Number 3200, Oak Park, IL 60302-2566 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| Find all providers with the same taxonomy | ||||
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| 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.