ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER (NPI# 1881958106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881958106 |
| Entity Type | Organization |
| Organization Name | ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER |
| Practice Address |
610 South Maple Ave Oak Park IL 60304-1091 |
| Mailing Address |
401 E Ontario Str. Suite #4005 Chicago IL 60611-7179 |
| Practice Telephone | 3125731633 |
| Practice Fax Number | 7082901014 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | DR. MAGDALENA GEORGE (MANAGER/OWNER) |
| Authorized Official Telephone | 3125731633 |
| Authorized Official Credential | MS, PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036096121 | IL | Allopathic & Osteopathic Physicians |
| N | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
036096121 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
036096121 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
610 SOUTH MAPLE AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114205176 | Midwest Gi and Hepatology, LLC | Internal Medicine | 610 S Maple Ave, Suite 2600, Oak Park, IL 60304-1091 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083835201 | Sandhya Sai Sathyakumar | Internal Medicine | 7900 N. Milwaukee, Ste 231, Niles, IL 60714 | 2007-05-02 |
| 1912088782 | Steven Joseph Scaglione | Internal Medicine | 9th Avenue, Hines, IL 60141 | 2006-10-18 |
| 1205857695 | Bernard A Nemchausky | Internal Medicine | 16w709 Marybeth Ct, Willowbrook, IL 60527-7052 | 2006-07-21 |
| 1275018020 | Andrea A Brown | Internal Medicine | 1801 W Taylor St Ste 1b, Chicago, IL 60612-4795 | 2018-09-27 |
| 1841552999 | Advanced Liver and Gastrointestinal Disease Center LLC | Internal Medicine | 3501 Harlem Ave, Berwyn, IL 60402-3263 | 2012-06-14 |
| 1669769824 | Saba Farooq | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-07-07 |
| 1821297870 | Natasha Marie Von Roenn | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-07-11 |
| 1740496512 | Christopher M Moore | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2007-05-16 |
| 1225142730 | Scott J Cotler | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-08-19 |
| 1891809620 | Jamie L. Berkes | Internal Medicine | 2160 S 1st Ave, Mulcahy Center, Maywood, IL 60153-3328 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.