# ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881958106
- **Authorized official:** DR. MAGDALENA GEORGE MS, PHD. (MANAGER/OWNER)
- **Authorized official phone:** (312) 573-1633

## Contact information

- **Practice address:** 610 SOUTH MAPLE AVE, OAK PARK, IL 60304-1091
- **Practice address phone:** (312) 573-1633
- **Practice address fax:** (708) 290-1014
- **Mailing address:** 401 E ONTARIO STR. SUITE \#4005, CHICAGO, IL 60611-7179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 036096121 | IL | — |
| 207RI0008X | Hepatology Physician | 036096121 | IL | Yes |
| 207RT0003X | Transplant Hepatology Physician | 036096121 | IL | — |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 07/02/2012