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SOUTH SUBURBAN GASTROENTEROLOGY, S.C.
NPI 1417167040
Internal Medicine - Gastroenterology in Homewood, IL

Active since May 23, 2007
17901 GOVERNORS HWY, SUITE 106, HOMEWOOD, IL 60430(708) 799-3305(708) 799-8592 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Suburban Gastroenterology, S.c. NPPES

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

SOUTH SUBURBAN GASTROENTEROLOGY, S.C. (NPI 1417167040) is a healthcare organization registered as a gastroenterology in Homewood, Illinois and active in the NPI registry since May 2007. The organization lists Abraham Fallah, President, as its authorized official.

NPPES Registry Identity

NPI1417167040
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTH SUBURBAN GASTROENTEROLOGY, S.C.
Location Address17901 GOVERNORS HWY, SUITE 106Homewood, IL 60430-1144
Mailing Address17901 Governors Hwy, Suite 106Homewood, IL 60430-1144 · (708) 799-3305 · Fax (708) 799-8592
Phone(708) 799-3305
Fax(708) 799-8592
Organization SubpartNo
Authorized OfficialAbraham FallahPresident · (708) 799-3305
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 17, 2015
✔ NPI 1417167040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 04203735
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.
17901 GOVERNORS HWY, Homewood, IL 60430
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

IMPROMED INC
Durable Medical Equipment & Medical Supplies
17901 GOVERNORS HWY, SUITE 204
HOMEWOOD, IL 60430
Cook County (708) 957-3300
WOMENS HEALTHCARE ASSOCIATES OF IL, SC
Obstetrics & Gynecology (Obstetrics)
17901 GOVERNORS HWY, SUITE 103
HOMEWOOD, IL 60430
Cook County (708) 799-6450
KURANI MED INC
Family Medicine
17901 GOVERNORS HWY, SUITE 207A
HOMEWOOD, IL 60430
Cook County (708) 206-0880
LINDA GIRARDOT APRN
Nurse Anesthetist, Certified Registered
17901 GOVERNORS HWY
HOMEWOOD, IL 60430
Cook County (708) 799-3305
DILIP SHAH MD
Internal Medicine (Cardiovascular Disease)
17901 GOVERNORS HWY, SUITE 101
HOMEWOOD, IL 60430
Cook County (708) 799-0180
INTERMED ONCOLOGY
Specialist
17901 GOVERNORS HWY
HOMEWOOD, IL 60430
Cook County (708) 957-2100
RAM K GOPI MD
Internal Medicine
17901 GOVERNORS HWY, #207
HOMEWOOD, IL 60430
Cook County (708) 799-8787
VIPUL M. PATEL
Durable Medical Equipment & Medical Supplies
17901 GOVERNORS HWY, SUITE 205
HOMEWOOD, IL 60430
Cook County (708) 206-0777

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 South Suburban Gastroenterology, S.C.'s NPI number?

The NPI number for South Suburban Gastroenterology, S.C. is 1417167040. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is South Suburban Gastroenterology, S.C. located?

South Suburban Gastroenterology, S.C. is located at 17901 Governors Hwy Suite 106, Homewood, IL 60430. The listed phone number is (708) 799-3305.

What is South Suburban Gastroenterology, S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for South Suburban Gastroenterology, S.C. was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.