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Associate S in Gastroenterology & Liver Disease , LLC

NPI 1558315747ActiveOrganization· Specialist· Lake Forest, IL

Specialist in Lake Forest, Illinois, registered in NPPES in May 2006. The authorized official on file is Pat Fradkin, Office Manager.

Overview

NPI1558315747
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Lake Forest

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