SOUTH SUBURBAN GASTROENTEROLOGY, S.C. – Gastroenterology Physician, NPI 1417167040

SOUTH SUBURBAN GASTROENTEROLOGY, S.C. is a healthcare provider. based in Homewood, Illinois. specializing in Gastroenterology Physician. The organization holds a License No. 04203735 (IL). The NPI Number for SOUTH SUBURBAN GASTROENTEROLOGY, S.C. is 1417167040

Main info

Organization
Name
SOUTH SUBURBAN GASTROENTEROLOGY, S.C.
NPI
1417167040
Phone
(708) 799-3305
Address
17901 GOVERNORS HWY
Authorized Official
DR. ABRAHAM FALLAH PRESIDENT M.D.
Enumeration Date
23 May 2007
Last Update Date
17 April 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTH SUBURBAN GASTROENTEROLOGY, S.C.

  • 17901, Governors Highway, Homewood, Bremen Township, Cook County, Illinois, 60430, United States

    SUITE 106

    HOMEWOOD, IL 604301144

    Phone: (708) 799-3305

    Fax: (708) 799-8592

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60430)

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Reviews

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Frequently asked questions

Is there an official ID for SOUTH SUBURBAN GASTROENTEROLOGY, S.C. in U.S. healthcare records?
The official identifier for SOUTH SUBURBAN GASTROENTEROLOGY, S.C. is NPI 1417167040.
Would SOUTH SUBURBAN GASTROENTEROLOGY, S.C. appear as active to a payer?
You can treat SOUTH SUBURBAN GASTROENTEROLOGY, S.C. as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SOUTH SUBURBAN GASTROENTEROLOGY, S.C.?
SOUTH SUBURBAN GASTROENTEROLOGY, S.C. is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOUTH SUBURBAN GASTROENTEROLOGY, S.C.?
Travel planning: use Homewood, Illinois as the reference point for SOUTH SUBURBAN GASTROENTEROLOGY, S.C., then confirm.
Does SOUTH SUBURBAN GASTROENTEROLOGY, S.C. accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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