Organization
THERAPEUTIC ENDOSCOPY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIS G PARSONS M.D. (PHYSICIAN OWNER)
(630) 718-0200
Entity
Organization
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1525A, CHICAGO, IL 60611-2927
(312) 943-3723
(312) 266-1411
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627695
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/17/2006
Last updated
09/27/2007
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