Lakeshore Gastroenterology and Liver Disease Institute SC
Lakeshore Gastroenterology and Liver Disease Institute SC provides Gastroenterology Physician services in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1 Erie Ct Ste 3100Oak Park, IL 60614-8542 Not confirmed with CMS for 11 years — call before visiting
Phone: (708) 763-8248
Fax: (708) 383-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 336-052655 (IL) |
|---|
Record details
| NPI number | 1528237765 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kamran Heydarpour — Owner · (708) 763-8248 |
| NPI enumerated | February 21, 2008 |
| Last updated in NPPES | November 26, 2014 |
| Mailing address | Po Box 14905, Chicago, IL 60614-8542 |
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