Provider Demographics
NPI:1578235883
Name:PINNACLE GASTROENTEROLOGY SC
Entity Type:Organization
Organization Name:PINNACLE GASTROENTEROLOGY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-804-9555
Mailing Address - Street 1:1323 S FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2716
Mailing Address - Country:US
Mailing Address - Phone:312-218-8889
Mailing Address - Fax:
Practice Address - Street 1:3 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANTENO
Practice Address - State:IL
Practice Address - Zip Code:60950-1534
Practice Address - Country:US
Practice Address - Phone:833-368-8688
Practice Address - Fax:779-216-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty