Pediatric and Adolescent Gastroenterology Group INC
NPI #1336323484 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1336323484
- Entity Type
- Organization
- Organization Name
- Pediatric and Adolescent Gastroenterology Group INC
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Dec 26, 2007
- Last Updated
- Jun 13, 2011
Practice Location
- Address
- 1225 W LAKE ST
- Address 2
- SUITE 409
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60610
- Phone
- (708) 499-7510
Authorized Official
- Name
- GLORIA BUENTELLO, MD
- Title
- MD
- Phone
- (708) 499-7510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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