Organization
GASTROENTEROLOGY CONSULTANTS OF LIBERTYVILLE LTD
Active
Organization
GASTROENTEROLOGY CONSULTANTS OF LIBERTYVILLE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W MATSESHE M.D. (PRESIDENT)
(847) 680-5858
Entity
Organization
Contact information
Practice address
890 GARFIELD AVE, SUITE 103, LIBERTYVILLE, IL 60048-3100
(847) 680-5858
(847) 680-5862
Mailing address
890 GARFIELD AVENUE, SUITE 103, LIBERTYVILLE, IL 60048-3100
(847) 680-5858
(847) 680-5862
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042003643
IL
Other
Enumeration date
11/15/2006
Last updated
02/03/2014
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