Gastrohealth of Illinois Sc

NPI #1114326204 in Macomb, Illinois

Provider Information

NPI Number: 1114326204
Entity Type: Organization
Organization Name: Gastrohealth of Illinois Sc
Primary Specialty: Specialist
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 5 DOCTORS LN
City: Macomb
State: Illinois
ZIP Code: 61455-3369
Phone: (309) 836-3387

Authorized Official

Name: KATHY HAMM
Title: OFFICE MANAGER
Phone: (309) 836-3387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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