Organization
NORTH SUBURBAN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY A GRANDE M.D. (PRESIDENT)
(847) 696-3176
Entity
Organization
Contact information
Practice address
711 W DEVON, PARK RIDGE, IL 60068-4713
(847) 696-3176
(847) 696-2678
Mailing address
711 W DEVON, PARK RIDGE, IL 60068-4713
(847) 696-3176
(847) 696-2678
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
04/06/2011
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