Organization
ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H VANTHIEL MD (PRESIDENT)
(312) 573-1633
Entity
Organization
Contact information
Practice address
3245 GROVE AVE, BERWYN, IL 60402-3474
(414) 236-7224
(708) 290-1014
Mailing address
401 E ONTARIO ST, SUITE#4005, CHICAGO, IL 60611-3051
(312) 573-1633
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
IL036096121
IL
207RI0008X
Hepatology Physician
IL036096121
IL
Other
Enumeration date
06/14/2012
Last updated
07/17/2023
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