Lakeshore Gastroenterology and Liver Disease Institute SC
Lakeshore Gastroenterology and Liver Disease Institute SC is a Gastroenterology Physician in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1 Erie Ct Ste 3100Oak Park, IL 60614-8542
Phone: (708) 763-8248
Fax: (708) 383-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 336-052655 (IL) |
|---|
Record details
| NPI number | 1528237765 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kamran Heydarpour — Owner · (708) 763-8248 |
| NPI enumerated | February 21, 2008 |
| Last updated in NPPES | November 26, 2014 |
| Mailing address | Po Box 14905, Chicago, IL 60614-8542 |
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