Organization
GASTROINTESTINAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A RODRIGUEZ M.D. (MEMBER)
(630) 208-7388
Entity
Organization
Contact information
Practice address
302 RANDALL RD, SUITE 308, GENEVA, IL 60134-4209
(630) 208-7388
(630) 208-4818
Mailing address
302 RANDALL RD, SUITE 308, GENEVA, IL 60134-4209
(630) 208-7388
(630) 208-4818
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0055909-1
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532084
BCBS GROUP NUMBER
IL
01
—
CK6933
RR MEDICARE NUMBER
IL
Enumeration date
07/06/2005
Last updated
11/15/2007
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