Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastroenterology Consultants of the North Shore

Organization Gastroenterology Physician · NPI 1962403212

Gastroenterology Consultants of the North Shore is a Gastroenterology Physician in Kenilworth, Illinois. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

505 Park Dr
Kenilworth, IL 60043-1082
Phone: (847) 256-8661
Fax: (847) 256-1598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1962403212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yolandra Johnson — President · (847) 256-8661
NPI enumeratedAugust 9, 2005
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address505 Park Dr, Kenilworth, IL 60043-1082

Other providers in Kenilworth