| Chicago Gastroenterology, Llc | |
|
1431 N Western Ave Suite 133 Chicago IL 60622-1797 | |
| (773) 342-6800 | |
| (773) 342-6332 |
| Full Name | Chicago Gastroenterology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1431 N Western Ave, Chicago, Illinois |
| Authorized Official Name and Position | Samuel Francisco Castillo (MEMBER) |
| Authorized Official Contact | 8477087496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Gastroenterology, Llc 1431 N Western Ave Suite 133 Chicago IL 60622-1797 Ph: (773) 342-6800 | Chicago Gastroenterology, Llc 1431 N Western Ave Suite 133 Chicago IL 60622-1797 Ph: (773) 342-6800 |
| NPI Number | 1366792426 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Medicare PECOS PAC ID | 6204077100 |
|---|---|
| Medicare Enrollment ID | O20130718000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366792426 | NPI | - | NPPES |
| 692861 | Other | IL | MEDICARE |
| 1205801313 | Other | IL | NPI |
| 036122662 | Medicaid | IL | |
| 036063975 | Medicaid | IL | |
| 1467503672 | Other | IL | NPI |
| I17297 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 248000667 (Illinois) | Primary |
| Provider Name | Samuel F Castillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205801313 PECOS PAC ID: 1759340953 Enrollment ID: I20100119000769 |
| Provider Name | Samuel Castillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467503672 PECOS PAC ID: 5193966000 Enrollment ID: I20130808000538 |
| Provider Name | Shixiong Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285698829 PECOS PAC ID: 2961590286 Enrollment ID: I20250313003758 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Inner-city Muslim Action Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2744 W 63rd St, Chicago, IL 60629 Phone: 773-434-4626 Fax: 773-776-3623 |