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

Great Lakes Pediatric Gi Clinic PLLC

Organization Pediatric Gastroenterology Physician · NPI 1023758257

Great Lakes Pediatric Gi Clinic PLLC is a Pediatric Gastroenterology Physician in Bingham Farms, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

31000 Telegraph Rd Ste 100
Bingham Farms, MI 48025-4321
Phone: (248) 854-5309
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1023758257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamal Kriem — Owner/Authorized Official · (248) 854-5309
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address31000 Telegraph Rd Ste 100, Bingham Farms, MI 48025-4321