Pediatric and Adolescent Gastroenterology Group Inc
Pediatric and Adolescent Gastroenterology Group Inc provides Pediatric Gastroenterology Physician services in Melrose Park, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2007.
- Licensed in
- IL, IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1225 W Lake St Ste 409Melrose Park, IL 60610 Not confirmed with CMS for 15 years — call before visiting
Phone: (708) 499-7510
Fax: (708) 345-0332
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X · Licence 036062537 (IL) |
|---|---|
| Pediatric Gastroenterology Physician | Taxonomy 2080P0206X · Licence 1000155902 (IN) |
Record details
| NPI number | 1336323484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gloria Buentello — Md · (708) 499-7510 |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | June 13, 2011 |
| Mailing address | 47 W Division St Unit 142, Chicago, IL 60610-2220 |
Other providers in Melrose Park
-
MS. Gloria Buentello, MD
1225 W Lake St Ste 409, Melrose Park, IL 60160 · (708) 499-7510