GREAT LAKES PEDIATRIC GI CLINIC PLLC
NPI 1023758257
Pediatrics - Pediatric Gastroenterology in Bingham Farms, MI

Active since March 29, 2022
31000 TELEGRAPH RD STE 100, BINGHAM FARMS, MI 48025(248) 854-5309 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Pediatric Gi Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PEDIATRIC GI CLINIC PLLC (NPI 1023758257) is a healthcare organization registered as a pediatric gastroenterology in Bingham Farms, Michigan and active in the NPI registry since March 2022. The organization lists Jamal Kriem, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1023758257
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameGREAT LAKES PEDIATRIC GI CLINIC PLLC
Location Address31000 TELEGRAPH RD STE 100Bingham Farms, MI 48025-4321
Mailing Address31000 Telegraph Rd Ste 100Bingham Farms, MI 48025-4321 · (248) 854-5309
Organization SubpartNo
Authorized OfficialJamal KriemOwner/authorized Official · (248) 854-5309
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1023758257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition

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.

31000 TELEGRAPH RD STE 100, Bingham Farms, MI 48025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Sleep Disorder Diagnostic)
31000 TELEGRAPH RD STE 100
BINGHAM FARMS, MI 48025
Internal Medicine (Sleep Medicine)
31000 TELEGRAPH RD STE 100
BINGHAM FARMS, MI 48025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Pediatric Gi Clinic PLLC's NPI number?

The NPI number for Great Lakes Pediatric Gi Clinic PLLC is 1023758257. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Great Lakes Pediatric Gi Clinic PLLC located?

Great Lakes Pediatric Gi Clinic PLLC is located at 31000 Telegraph Rd Ste 100, Bingham Farms, MI 48025. The listed phone number is (248) 854-5309.

What is Great Lakes Pediatric Gi Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Great Lakes Pediatric Gi Clinic PLLC was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.