Gastroenterology Consultants of the North Shore
NPI #1962403212 in Kenilworth, Illinois
Provider Information
- NPI Number
- 1962403212
- Entity Type
- Organization
- Organization Name
- Gastroenterology Consultants of the North Shore
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Mar 18, 2021
Practice Location
- Address
- 505 PARK DR
- City
- Kenilworth
- State
- Illinois
- ZIP Code
- 60043-1082
- Phone
- (847) 256-8661
Authorized Official
- Name
- DR. YOLANDRA JOHNSON
- Title
- PRESIDENT
- Phone
- (847) 256-8661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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