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Organization

ADVANCED LIVER AND GASTROINTESTINAL DISEASE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAGDALENA GEORGE MS, PHD. (MANAGER/OWNER)
(312) 573-1633
Entity
Organization

Contact information

Practice address
610 SOUTH MAPLE AVE, OAK PARK, IL 60304-1091
(312) 573-1633
(708) 290-1014
Mailing address
401 E ONTARIO STR. SUITE #4005, CHICAGO, IL 60611-7179

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036096121
IL
207RI0008X
Hepatology Physician
Primary
036096121
IL
207RT0003X
Transplant Hepatology Physician
036096121
IL

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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