PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC – NPI #1336323484
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC is a provider located in MELROSE PARK, IL. NPPES has assigned the NPI number 1336323484 to PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC on December 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 15 years ago on Jun 13, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC below.

NPI Profile for
PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC

NPI Number
1336323484
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC
Primary location
1225 W LAKE ST
SUITE 409
MELROSE PARK, IL 60610
Phone: (708) 499-7510 Fax: (708) 345-0332
Mailing address
47 W DIVISION ST UNIT 142
CHICAGO, IL 60610-2220
Phone: (708) 499-7510 Fax: (708) 345-0332
Organization Subpart
No
Authorized Official
GLORIA BUENTELLO
MD
Phone: (708) 499-7510
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)		 IN 1000155902

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.