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Organization

GI AND LIVER SPECIALISTS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN C BERNTHAL M.D. (PRESIDENT)
(708) 749-4617
Entity
Organization

Contact information

Practice address
6827 STANLEY AVE, BERWYN, IL 60402-3287
(708) 749-4617
Mailing address
6827 STANLEY AVE, BERWYN, IL 60402-3287
(708) 749-4617

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036054138
IL
05
036075808
IL
Enumeration date
01/24/2007
Last updated
07/21/2022
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