Organization
SOUTHWEST GASTROENTEROLOGY, S.C.
Active
Organization
SOUTHWEST GASTROENTEROLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PORT M.D. (PRESIDENT)
(708) 499-5678
Entity
Organization
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
(708) 499-5685
Mailing address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
(708) 499-5685
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
01/28/2009
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