Pediatric and Adolescent Gastroenterology Group Inc
Pediatric and Adolescent Gastroenterology Group Inc is a Pediatric Gastroenterology Physician in Melrose Park, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2007.
- Licensed in
- IL, IN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1225 W Lake St Ste 409Melrose Park, IL 60610
Phone: (708) 499-7510
Fax: (708) 345-0332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X · Licence 036062537 (IL) |
|---|---|
| Pediatric Gastroenterology Physician | Taxonomy 2080P0206X · Licence 1000155902 (IN) |
Record details
| NPI number | 1336323484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gloria Buentello — Md · (708) 499-7510 |
| NPI enumerated | December 26, 2007 |
| Last updated in NPPES | June 13, 2011 |
| Mailing address | 47 W Division St Unit 142, Chicago, IL 60610-2220 |
Other providers in Melrose Park
-
MS. Gloria Buentello, MD
1225 W Lake St Ste 409, Melrose Park, IL 60160 · (708) 499-7510