Organization
G N ENDOCRINOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMER KASSAR MD (OWNER, MD)
(219) 440-5350
Entity
Organization
Contact information
Practice address
FIVE KISH HOSPITAL DR, SUITE 201, DEKALB, IL 60115-9602
(815) 748-8335
(815) 748-8340
Mailing address
FIVE KISH HOSPITAL DR, SUITE 201, DEKALB, IL 60115-9602
(815) 748-8335
(815) 748-8340
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036124942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044049488
—
IL
Enumeration date
03/05/2010
Last updated
10/10/2018
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