1. Home
  2. Directory
  3. Illinois
  4. Des Plaines
  5. Clinic Center
  6. NPI Profile

PRESENCE LAKESHORE GASTROENTEROLOGY, LLC
NPI 1639618036
Clinic/Center - Ambulatory Surgical in Des Plaines, IL

Active since February 17, 2017CLIA 14D2131914 · Waiver
150 N RIVER RD, SUITE 215, DES PLAINES, IL 60016(847) 787-1099 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2018, Dec 20, 2017, Mar 3, 2017 and 1 more (4 updates tracked since 2017).

About Presence Lakeshore Gastroenterology, Llc NPPES

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

PRESENCE LAKESHORE GASTROENTEROLOGY, LLC (NPI 1639618036) is a healthcare organization registered as an ambulatory surgical in Des Plaines, Illinois and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Lauren Lavaja, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639618036
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRESENCE LAKESHORE GASTROENTEROLOGY, LLC
Location Address150 N RIVER RD, SUITE 215Des Plaines, IL 60016-1272
Mailing Address150 N River Rd, Suite 215Des Plaines, IL 60016-1272
Phone(847) 787-1099
Organization SubpartNo
Authorized OfficialLauren LavajaAdministrator · (847) 787-1099
Enumeration DateFebruary 17, 2017
Last NPPES UpdateMay 8, 20184 updates tracked since enumeration
✔ NPI 1639618036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
150 N RIVER RD, Des Plaines, IL 60016
Open in Google Maps ↗

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 Waiver 14D2131914

Presence Lakeshore Gastroenterology LLC · Des Plaines, IL
Active · expires Jun 6, 2027
CLIA Number14D2131914
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMani Mahdavian MD
Laboratory Phone(847) 787-1099
Laboratory LocationPresence Lakeshore Gastroenterology LLC150 N River Road - Suite 215, Des Plaines, IL 60016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
347 services336 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
260 services259 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
143 services143 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
69 services69 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
38 services34 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
33 services33 patients

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.

RAYMOND DAOU, MD, PC
Otolaryngology
150 N RIVER RD, STE 200
DES PLAINES, IL 60016
Cook County (847) 297-0333
NORTH SUBURBAN FAMILY MEDICINE LTD
Family Medicine
150 N RIVER RD, SUITE 310
DES PLAINES, IL 60016
Cook County (847) 795-0900
PURVI GABHAWALA AGNP
Nurse Practitioner (Adult Health)
150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 290-1300
PETER WERNER M.D.
Internal Medicine (Pulmonary Disease)
150 N RIVER RD, SUITE 210
DES PLAINES, IL 60016
Cook County (847) 759-4060
PRESENCE AMBULATORY SERVICES
Clinic/Center (Multi-Specialty)
150 N RIVER RD
DES PLAINES, IL 60016
Cook County (847) 813-3510
JEANNE M HOAG M.D.
Dermatology
150 N RIVER RD, STE 210
DES PLAINES, IL 60016
Cook County (847) 759-4060
BETH H SAMUELSOHN D.O.
Family Medicine
150 N RIVER RD, SUITE 150
DES PLAINES, IL 60016
Cook County (847) 795-0900
NORTH SUBURBAN FAMILY MEDICAL
Family Medicine
150 N RIVER RD, SUITE 310
DES PLAINES, IL 60016
Cook County (847) 795-0900

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 Presence Lakeshore Gastroenterology, LLC's NPI number?

The NPI number for Presence Lakeshore Gastroenterology, LLC is 1639618036. It was assigned to this organization in the NPPES registry on February 17, 2017.

Where is Presence Lakeshore Gastroenterology, LLC located?

Presence Lakeshore Gastroenterology, LLC is located at 150 N River Rd Suite 215, Des Plaines, IL 60016. The listed phone number is (847) 787-1099.

What is Presence Lakeshore Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Presence Lakeshore Gastroenterology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2131914) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presence Lakeshore Gastroenterology, LLC was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.