Organization
ALL GASTRO LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ANN FISK (OFFICE MANAGER)
(309) 531-2599
Entity
Organization
Contact information
Practice address
600 S 13TH ST, SUITE J, PEKIN, IL 61554-4936
(309) 310-6760
Mailing address
2105 WOODBINE RD, BLOOMINGTON, IL 61704-2813
(309) 310-6760
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36081816
IL
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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