Organization
GASTROENTEROLOGY ASSOCIATES SC
Active
Organization
GASTROENTEROLOGY ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J KONICEK MD (PRESIDENT)
(773) 871-4600
Entity
Organization
Contact information
Practice address
3004 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 871-4600
(773) 871-2900
Mailing address
222 E DUNDEE RD, GASTROENTEROLOGY & ASSOCIATES SC, WHEELING, IL 60090-3009
(847) 520-0235
(847) 520-0390
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
02/19/2008
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