Organization
NORTHWEST GASTROENTEROLOGISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORENE SAVAGE (ADMINISTRATOR)
(847) 439-1005
Entity
Organization
Contact information
Practice address
1415 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005-3765
(847) 439-1005
(847) 439-7555
Mailing address
1415 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005-3765
(847) 439-1005
(847) 439-7555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616208
BCBS OF IL
—
Enumeration date
10/26/2005
Last updated
08/22/2020
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