DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC
NPI 1407966302
Internal Medicine - Gastroenterology in Bourbonnais, IL

Q: What is Digestive Diseases Consultants Of Kankakee, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since August 30, 2006CLIA 14D0898770 · Accreditation

1615 N. CONVENT ST, STE 1, BOURBONNAIS, IL 60914(815) 937-5200(815) 937-2063 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Digestive Diseases Consultants Of Kankakee, Sc NPPES

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

DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC (NPI 1407966302) is a healthcare organization registered as a gastroenterology in Bourbonnais, Illinois and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through December 11, 2027 and lists Christina M O'connor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407966302

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameDIGESTIVE DISEASES CONSULTANTS OF KANKAKEE, SC

Location Address1615 N. CONVENT ST, STE 1Bourbonnais, IL 60914

Mailing Address1615 N. Convent St, Ste 1Bourbonnais, IL 60914 · (815) 937-5200 · Fax (815) 937-2063

Phone(815) 937-5200

Fax(815) 937-2063

Organization SubpartNo

Authorized OfficialChristina M O'connorAdministrator · (815) 602-8253

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1407966302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1615 N. CONVENT ST, Bourbonnais, IL 60914

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Other Identifiers 1

Medicaid1407966302IL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0898770

Digestive Diseases Consultants · Bourbonnais, IL

Active · expires Dec 11, 2027

CLIA Number14D0898770

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorDr. Thomas M. Betlej

Laboratory Phone(815) 937-5200

Laboratory LocationDigestive Diseases Consultants1615 N Convent St, Suite 1, Bourbonnais, IL 60914

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Digestive Diseases Consultants Of Kankakee, Sc's NPI number?

The NPI number for Digestive Diseases Consultants Of Kankakee, Sc is 1407966302. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Digestive Diseases Consultants Of Kankakee, Sc located?

Digestive Diseases Consultants Of Kankakee, Sc is located at 1615 N. Convent St Ste 1, Bourbonnais, IL 60914. The listed phone number is (815) 937-5200.

What is Digestive Diseases Consultants Of Kankakee, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Digestive Diseases Consultants Of Kankakee, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0898770) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Digestive Diseases Consultants Of Kankakee, Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Digestive Diseases Consultants Of Kankakee, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Digestive Diseases Consultants Of Kankakee, Sc was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.