Organization
ASSOCIATED GASTROENTEROLOGY CONSULTANTS, INC.
Active
Organization
ASSOCIATED GASTROENTEROLOGY CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA DORAN (OFFICE MANAGER)
(815) 875-7666
Entity
Organization
Contact information
Practice address
530 PARK AVE E, SUITE 207, PRINCETON, IL 61356-3901
(815) 875-8666
(815) 872-0487
Mailing address
530 PARK AVE E, SUITE 207, PRINCETON, IL 61356-3901
(815) 875-8666
(815) 872-0487
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036062499
IL
207RG0100X
Gastroenterology Physician
036085799
IL
207RG0100X
Gastroenterology Physician
209005803
IL
Other
Enumeration date
10/07/2005
Last updated
08/26/2015
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