Gastroenterology Consultants of the North Shore
NPI 1962403212ActiveOrganization· Internal Medicine, Gastroenterology· Kenilworth, IL
Internal Medicine, Gastroenterology in Kenilworth, Illinois, registered in NPPES in August 2005. The authorized official on file is Yolandra Johnson, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962403212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Mar 18, 2021 |
| Certified by provider | Mar 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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