Gastroenterology Care Of Southern Illinois, Llc, NPI 1609914183
Gastroenterology Physician in Herrin, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609914183
NPI Entity Type Organization
Provider Name Gastroenterology Care Of Southern Illinois, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3301 Patriot Ct, Herrin, IL, US
Provider Mailing Address 24 Pine Lake Dr, Carbondale, IL, US, 629015410
Is Sole Proprietor? No
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Organization Official

Official Name MR. M.D. Sushilkunar Mahabirprasad Tibrewala
Official Position PRESIDENT
Phone 618-998-8885

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RG0100X

Taxonomy Name Gastroenterology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 036-073571
License State IL
Description 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.

Other Organization Name

Sushilkumar Tibrewala, MD
Doing Business As

Business Address

Gastroenterology Care Of Southern Illinois, Llc
3301 Patriot Ct

Herrin, IL, US

Phone: 618-998-8885
Fax: 618-998-8886

Mailing Address

Gastroenterology Care Of Southern Illinois, Llc
24 Pine Lake Dr
Carbondale, IL, US
ZIP 629015410
Phone: 618-529-3308
Fax: 618-998-8886

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0010023397 IL BCBS OF IL 01
036073571 IL MEDICAID 05
173109 IL HEALTHLINK PPO 01
046565 IL HEALTH ALLIANCE 01
833199720 IL AETNA 01

Other Providers in IL, US

NPI Name Taxonomy Address

1194448480

Dr. Lucas Tanner, Llc

Organization

Clinic/Center

132 Depot St

Gardner, IL

1467077537

NP Rebbecca Camerer

Individual

Family Nurse Practitioner

20733 N Broad St

Carlinville, IL

1306564521

DNP Lindsay Renee Wayne

Individual

Certified Registered Nurse Anesthetist

1740 W Taylor St # 3200w

Chicago, IL

1609378074

LMFT Sara R Gallant

Individual

Marriage & Family Therapist

4709 Golf Rd Ste 1150

Skokie, IL

1790337483

MD Mandeep Kaur Sidhu

Individual

Geriatric Medicine (Internal Medicine) Physician

Ui Health, Graduate Medical Education Office

820 South Wood Street, Suite 100, Mc 675

Chicago, IL

1295259042

FNP Melissa Verdecchia

Individual

Family Nurse Practitioner

400 N Highland Ave

Aurora, IL

1477949014

LCSW Jennifer Anne Murphy

Individual

Clinical Social Worker

527 Illinois Ave

St Charles, IL

1669147302

DR. DMD Kelly Walker

Individual

General Practice Dentistry

101 Fulton St

Wilmington, IL

1609515832

DR. Christopher Alexander Delgado

Individual

Certified Registered Nurse Anesthetist

2233 W Division St

Chicago, IL

1578215752

APRN, FNP-C Amanda Rose Malone

Individual

Nurse Practitioner

251 E Huron St

Chicago, IL

1568007433

LCOC Christina Joly

Individual

Professional Counselor

5537 N Broadway St

Chicago, IL

1124749700

Jonathan Patrick Ruiz

Organization

Surgical Physician Assistant

1900 Light Rd Apt 103

Oswego, IL

1871244426

CSFA Jonathan P Ruiz

Individual

Surgical Physician Assistant

1900 Light Rd Apt 103

Oswego, IL

1679916704

DR. MD Arielle Cimeno

Individual

Transplant Surgery Physician

5841 S Maryland Ave # Mc5206

Chicago, IL

1225789209

Aaa Medical Inc

Organization

Clinical Medical Laboratory

103 W Townline Rd

Vernon Hills, IL

1568642015

DR. PSY.D Iwona Konczak

Individual

Clinical Psychologist

415 W Golf Rd

Suite 4

Arlington Heights, IL

1780257329

Alexi Feiner Child

Individual

Medical Physician Assistant

2403 N Clybourn Ave Apt 3

Chicago, IL

1750006128

Kristine Joy Mique

Individual

Pharmacist

3325 N Main St

Rockford, IL

1568990364

MR. LCSW Christopher Digiovanni

Individual

Clinical Social Worker

201 Park Pl Ste 2

Bourbonnais, IL

1356075873

Julieanne Pojas, Psy.d. & Associates Pllc

Organization

Clinical Psychologist

153 Pointe Dr Unit 106

Northbrook, IL

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