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MID-CENTRAL ILL GAST LTD
NPI 1992845358
Internal Medicine - Gastroenterology in Normal, IL

Active since February 07, 2007
2200 JACOBSSEN DR, SUITE B, NORMAL, IL 61761(309) 451-1123(309) 451-1212 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid-central Ill Gast Ltd NPPES

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

MID-CENTRAL ILL GAST LTD (NPI 1992845358) is a healthcare organization registered as a gastroenterology in Normal, Illinois and active in the NPI registry since February 2007. The organization lists Stephen S Matter, President, as its authorized official.

NPPES Registry Identity

NPI1992845358
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMID-CENTRAL ILL GASTRO
Location Address2200 JACOBSSEN DR, SUITE BNormal, IL 61761-5516
Mailing Address2200 Jacobssen Dr, Suite BNormal, IL 61761-5516 · (309) 451-1123 · Fax (309) 451-1212
Phone(309) 451-1123
Fax(309) 451-1212
Organization SubpartNo
Authorized OfficialStephen S MatterPresident · (309) 451-1123
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 28, 2008
✔ NPI 1992845358 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.
2200 JACOBSSEN DR, Normal, IL 61761
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Other Names 1

Other NameMid-central Ill Gast Ltd

Other Identifiers 4

Medicaid0360788251IL
Medicare PINCG4182IL
Other05725403IL · Bluecross Blueshield
Medicaid0360818161IL

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

Other Providers at the Same Location NPPES 2

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

STEPHEN S MATTER M.D.
Internal Medicine (Gastroenterology)
2200 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 451-1123
PREMIER MEDICAL GROUP, LLC
Internal Medicine (Gastroenterology)
2200 JACOBSSEN DR, SUITE B
NORMAL, IL 61761
McLean County (309) 451-1123

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 Mid-Central Ill Gastro's NPI number?

The NPI number for Mid-Central Ill Gastro is 1992845358. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Mid-Central Ill Gast Ltd.

Where is Mid-Central Ill Gastro located?

Mid-Central Ill Gastro is located at 2200 Jacobssen Dr Suite B, Normal, IL 61761. The listed phone number is (309) 451-1123.

What is Mid-Central Ill Gastro'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 Mid-Central Ill Gastro was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.