Organization
SOUTH SUBURBAN GASTROENTEROLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM FALLAH M.D. (PRESIDENT)
(708) 799-3305
Entity
Organization
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 106, HOMEWOOD, IL 60430-1144
(708) 799-3305
(708) 799-8592
Mailing address
17901 GOVERNORS HWY, SUITE 106, HOMEWOOD, IL 60430-1144
(708) 799-3305
(708) 799-8592
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04203735
IL
Other
Enumeration date
05/23/2007
Last updated
04/17/2015
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