South Suburban Gastroenterology, S.c.

NPI #1417167040 in Homewood, Illinois

Provider Information

NPI Number
1417167040
Entity Type
Organization
Organization Name
South Suburban Gastroenterology, S.c.
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
May 23, 2007
Last Updated
Apr 17, 2015

Practice Location

Address
17901 GOVERNORS HWY
Address 2
SUITE 106
ZIP Code
60430-1144
Phone
(708) 799-3305

Authorized Official

Name
DR. ABRAHAM FALLAH, M.D.
Title
PRESIDENT
Phone
(708) 799-3305

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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