Organization
CENTER FOR GASTROENTEROLOGY AND NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BUCHMAN MD (DIRECTOR)
(847) 674-7501
Entity
Organization
Contact information
Practice address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 674-7501
(847) 674-7512
Mailing address
9669 KENTON AVE, SUITE 306, SKOKIE, IL 60076-1266
(847) 674-7501
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
336-062256
IL
Other
Enumeration date
12/03/2013
Last updated
01/15/2014
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