North Suburban Gastroenterology
NPI #1114037041 in Park Ridge, Illinois
Provider Information
- NPI Number
- 1114037041
- Entity Type
- Organization
- Organization Name
- North Suburban Gastroenterology
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 711 W DEVON
- City
- Park Ridge
- State
- Illinois
- ZIP Code
- 60068-4713
- Phone
- (847) 696-3176
Authorized Official
- Name
- DR. ANTHONY A GRANDE, M.D.
- Title
- PRESIDENT
- Phone
- (847) 696-3176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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