Gastroenterology Care Of Southern Illinois, Llc, NPI 1609914183
Gastroenterology Physician in Herrin, IL, US
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 |
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 | |
| Taxonomy Name | Gastroenterology Physician |
| Classification | |
| Group | |
| 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 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 |
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Dr. Lucas Tanner, Llc Organization |
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LMFT Sara R Gallant Individual |
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MD Mandeep Kaur Sidhu Individual |
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FNP Melissa Verdecchia Individual |
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LCSW Jennifer Anne Murphy Individual |
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DR. DMD Kelly Walker Individual |
101 Fulton St |
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DR. Christopher Alexander Delgado Individual |
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APRN, FNP-C Amanda Rose Malone Individual |
251 E Huron St |
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LCOC Christina Joly Individual |
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Jonathan Patrick Ruiz Organization |
1900 Light Rd Apt 103 |
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CSFA Jonathan P Ruiz Individual |
1900 Light Rd Apt 103 |
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DR. MD Arielle Cimeno Individual |
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Aaa Medical Inc Organization |
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DR. PSY.D Iwona Konczak Individual |
415 W Golf Rd Suite 4 |
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Alexi Feiner Child Individual |
2403 N Clybourn Ave Apt 3 |
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Kristine Joy Mique Individual |
3325 N Main St |
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MR. LCSW Christopher Digiovanni Individual |
201 Park Pl Ste 2 |
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Julieanne Pojas, Psy.d. & Associates Pllc Organization |
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