CHILDRENS GASTROENTEROLOGY SPECIALISTS SC (NPI# 1699874255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699874255 |
| Entity Type | Organization |
| Organization Name | CHILDRENS GASTROENTEROLOGY SPECIALISTS SC |
| Practice Address |
2551 Compass Rd Suite 110 Glenview IL 60026-8045 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 8477247825 |
| Practice Fax Number | 8477247845 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | SUZANNE P NELSON (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8477247825 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER ID | 1634323 | 01 |
| Street Address |
2551 COMPASS RD SUITE 110 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-8045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650139 | Suzanne P Nelson | Pediatrics | 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 | 2005-09-20 |
| 1710214192 | Melissa Shefler | Dietitian, Registered | 2551 Compass Rd, Suite 120, Glenview, IL 60026-8045 | 2009-11-05 |
| 1063546166 | Digestive Disease Associates of The North Shore S C | Internal Medicine | 2551 Compass Rd, Suite 120, Glenview, IL 60026-8045 | 2007-03-14 |
| 1487798294 | Susanne C Hintz | Nurse Anesthetist, Certified Registered | 2551 Compass Rd, Suite 115, Glenview, IL 60026-8045 | 2007-02-16 |
| 1174667059 | Lori Goldman | Nurse Anesthetist, Certified Registered | 2551 Compass Rd, Suite 115, Glenview, IL 60026-8045 | 2007-02-16 |
| 1851469415 | Renata Rzazewska-johnson | Dentist | 2551 Compass Rd, Suite 125, Glenview, IL 60026-8045 | 2006-12-01 |
| 1952409260 | Milena Jguenti, M.d.,s.c. | Internal Medicine | 2551 Compass Rd, Suite 120, Glenview, IL 60026-8045 | 2006-09-20 |
| 1134223266 | Maria Kolesnikov | Registered Nurse | 2551 Compass Rd, Suite 115, Glenview, IL 60026-8045 | 2006-09-11 |
| 1447352711 | Lori Anne Walsh | Pediatrics | 2551 Compass Rd, Suite 100, Glenview, IL 60026-8045 | 2006-09-05 |
| 1780658062 | Glen Endoscopy Center, LLC | Clinic/Center | 2551 Compass Rd, Suite 115, Glenview, IL 60026-8045 | 2006-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650139 | Suzanne P Nelson | Pediatrics | 2551 Compass Rd, Suite 110, Glenview, IL 60026-8045 | 2005-09-20 |
| 1609195601 | Jonathan Sebastian Cordova | Pediatrics | 2180 Pfingsten Rd, Room B0000, Cubicle B027g, Glenview, IL 60026-1339 | 2010-05-31 |
| 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 |
| 1518977875 | Gloria Buentello | Pediatrics | 1225 W Lake St., Suite 409, Melrose Park, IL 60160 | 2006-08-09 |
| 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 |
| 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.