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ASHLAND AVENUE GI, S.C.
NPI 1962781252
Clinic/Center - Endoscopy in Chicago, IL

Active since August 04, 2011CLIA 14D2052961 · Waiver
3004 N ASHLAND AVE, CHICAGO, IL 60657(773) 871-4600(773) 871-2900 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashland Avenue Gi, S.c. NPPES

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

ASHLAND AVENUE GI, S.C. (NPI 1962781252) is a healthcare organization registered as an endoscopy in Chicago, Illinois and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Keikhosrow Ghazanfari, President, as its authorized official.

NPPES Registry Identity

NPI1962781252
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameASHLAND AVENUE GI, S.C.
Location Address3004 N ASHLAND AVEChicago, IL 60657
Mailing Address3004 N Ashland AveChicago, IL 60657-3012 · (773) 871-4600 · Fax (773) 871-2900
Phone(773) 871-4600
Fax(773) 871-2900
Organization SubpartNo
Authorized OfficialKeikhosrow GhazanfariPresident · (773) 871-4600
Enumeration DateAugust 4, 2011
✔ NPI 1962781252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
3004 N ASHLAND AVE, Chicago, IL 60657
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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 14D2052961

Ashland Avenue G I, S C · Chicago, IL
Active · expires Jan 22, 2027
CLIA Number14D2052961
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorArturo Olivera M D
Laboratory Phone(773) 871-4600
Laboratory LocationAshland Avenue G I, S C3004 N Ashland Ave, Chicago, IL 60657
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

OLIVERA WEIGHT LOSS S.C.
Internal Medicine (Obesity Medicine)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 327-6624
GASTROENTEROLOGY ASSOCIATES SC
Internal Medicine (Gastroenterology)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 871-4600
ALAMEDA FOOT CENTERS
Podiatrist
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 237-1122
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
Specialist
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 871-4600
GO GASTROENTEROLOGY LTD
Internal Medicine (Gastroenterology)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 871-4600
JESSICA LYNN RINGWOOD FAMILY NURSE PRACTIT
Nurse Practitioner (Family)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 327-6624
KGO GI INC
Clinic/Center (Endoscopy)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 871-4600
FRANK JOSEPH KONICEK MD
Internal Medicine (Gastroenterology)
3004 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 871-4600

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 Ashland Avenue Gi, S.C.'s NPI number?

The NPI number for Ashland Avenue Gi, S.C. is 1962781252. It was assigned to this organization in the NPPES registry on August 4, 2011.

Where is Ashland Avenue Gi, S.C. located?

Ashland Avenue Gi, S.C. is located at 3004 N Ashland Ave, Chicago, IL 60657. The listed phone number is (773) 871-4600.

What is Ashland Avenue Gi, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Ashland Avenue Gi, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2052961) is associated with this NPI, valid through January 22, 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 Ashland Avenue Gi, S.C. was last updated on August 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.