Organization
CENTER FOR DIGESTIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA O'CONNOR (ADMINISTRATOR)
(815) 937-5200
Entity
Organization
Contact information
Practice address
1615 N CONVENT ST, BOURBONNAIS, IL 60914-1092
(815) 936-1700
Mailing address
1615 N CONVENT ST, BOURBONNAIS, IL 60914-1092
(815) 936-1700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7002876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50356
BCBS
IL
Enumeration date
05/19/2006
Last updated
09/05/2024
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