Organization
GASTROENTEROLOGY CLINICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ASIF MAHKRI MD (OWNER)
(630) 560-1115
Entity
Organization
Contact information
Practice address
581 W SULLIVAN RD, SUITE A, AURORA, IL 60506-1443
(630) 560-1115
(630) 906-7200
Mailing address
581 W SULLIVAN RD, SUITE A, AURORA, IL 60506-1443
(630) 560-1115
(630) 906-7200
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036085150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085150
—
IL
Enumeration date
04/11/2007
Last updated
08/05/2015
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