Organization
ALLIANCE GASTROENTEROLOGY GROUP LLC
Active
Organization
ALLIANCE GASTROENTEROLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA THOMAS (CHIEF OPERATING OFFICER)
(847) 909-2088
Entity
Organization
Contact information
Practice address
1795 N BUTTERFIELD RD STE 201, LIBERTYVILLE, IL 60048-1212
(847) 500-9380
(833) 523-2430
Mailing address
6 BROADLEYS CT, BANNOCKBURN, IL 60015-1511
(847) 909-2088
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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