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

South Suburban Gastroenterology, SC

Organization Gastroenterology Physician · NPI 1417167040

South Suburban Gastroenterology, SC is a Gastroenterology Physician in Homewood, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

17901 Governors Hwy Ste 106
Homewood, IL 60430-1144
Phone: (708) 799-3305
Fax: (708) 799-8592
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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 04203735 (IL)

Record details

NPI number1417167040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abraham Fallah — President · (708) 799-3305
NPI enumeratedMay 23, 2007
Last updated in NPPESApril 17, 2015
Mailing address17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144

Other providers in Homewood