Ashland Avenue Gi, S.c.

NPI #1962781252 in Chicago, Illinois

Provider Information

NPI Number
1962781252
Entity Type
Organization
Organization Name
Ashland Avenue Gi, S.c.
Primary Specialty
Clinic/Center - Endoscopy
Enumeration Date
Aug 4, 2011
Last Updated
Aug 4, 2011

Practice Location

Address
3004 N ASHLAND AVE
ZIP Code
60657
Phone
(773) 871-4600

Authorized Official

Name
MR. KEIKHOSROW GHAZANFARI, M.D.
Title
PRESIDENT
Phone
(773) 871-4600

Specialties & Taxonomy Codes

Specialty
Clinic/Center - EndoscopyEndoscopy

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