Organization
METROPOLITAN GASTROENTEROLOGY CONSULTANTS LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIEN LANCE GASTON (PRESIDENT)
(773) 238-1126
Entity
Organization
Contact information
Practice address
10444 S WESTERN AVE, SUITE A, CHICAGO, IL 60643-2508
(773) 238-1126
Mailing address
10444 S WESTERN AVE, SUITE A, CHICAGO, IL 60643-2508
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036071497
IL
Other
Enumeration date
04/17/2007
Last updated
04/29/2010
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