PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC
NPI 1336323484
Pediatrics - Pediatric Gastroenterology in Melrose Park, IL

Q: What is Pediatric And Adolescent Gastroenterology Group Inc's specialty?

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

Active since December 26, 2007

1225 W LAKE ST, SUITE 409, MELROSE PARK, IL 60610(708) 499-7510(708) 345-0332 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric And Adolescent Gastroenterology Group Inc NPPES

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

PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC (NPI 1336323484) is a healthcare organization registered as a pediatric gastroenterology in Melrose Park, Illinois and active in the NPI registry since December 2007. The organization lists Gloria Buentello, Md, as its authorized official.

NPPES Registry Identity

NPI1336323484

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NamePEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC

Location Address1225 W LAKE ST, SUITE 409Melrose Park, IL 60610

Mailing Address47 W Division St Unit 142Chicago, IL 60610-2220 · (708) 499-7510 · Fax (708) 345-0332

Phone(708) 499-7510

Fax(708) 345-0332

Organization SubpartNo

Authorized OfficialGloria BuentelloMd · (708) 499-7510

Enumeration DateDecember 26, 2007

Last NPPES UpdateJune 13, 2011

✔ NPI 1336323484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in IL · 036062537✔ Licensed in IN · 1000155902

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.

1225 W LAKE ST, Melrose Park, IL 60610

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Other Identifiers 1

Medicare UPIND16746

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pediatric And Adolescent Gastroenterology Group Inc's NPI number?

The NPI number for Pediatric And Adolescent Gastroenterology Group Inc is 1336323484. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Pediatric And Adolescent Gastroenterology Group Inc located?

Pediatric And Adolescent Gastroenterology Group Inc is located at 1225 W Lake St Suite 409, Melrose Park, IL 60610. The listed phone number is (708) 499-7510.

What is Pediatric And Adolescent Gastroenterology Group Inc'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 Pediatric And Adolescent Gastroenterology Group Inc was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.