Organization
KGO GI INC
Active
Other names
KGO-GI, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA GHAZANFARI (RN MANAGER)
(773) 871-4600
Entity
Organization
Contact information
Practice address
3004 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 871-4600
Mailing address
3004 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 871-4600
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/12/2008
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