Organization
MIDWEST DIGESTIVE DISEASE SPECIALISTS,S C
Active
Organization
MIDWEST DIGESTIVE DISEASE SPECIALISTS,S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY A WIECZOREK (ACCOUNTS MANAGEMENT/SUPERVISOR)
(630) 327-7991
Entity
Organization
Contact information
Practice address
2 TRANSAM PLAZA DR, SUITE 100, OAKBROOK TERRACE, IL 60181-4823
(630) 833-0653
(630) 932-3437
Mailing address
2 TRANSAM PLAZA DR, SUITE 100, OAKBROOK TERRACE, IL 60181-4823
(630) 833-0653
(630) 932-3437
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042006651
IL
Other
Enumeration date
12/12/2006
Last updated
10/02/2013
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