Southwest Gastroenterology, S.c.

NPI #1821247495 in Oak Lawn, Illinois

Provider Information

NPI Number
1821247495
Entity Type
Organization
Organization Name
Southwest Gastroenterology, S.c.
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Sep 18, 2008
Last Updated
Jan 28, 2009

Practice Location

Address
9921 SOUTHWEST HWY
ZIP Code
60453-3767
Phone
(708) 499-5678

Authorized Official

Name
JEFFREY PORT, M.D.
Title
PRESIDENT
Phone
(708) 499-5678

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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