Provider Demographics
NPI:1578659108
Name:DIGESTIVE DISEASE ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:DIGESTIVE DISEASE ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:P
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-325-4255
Mailing Address - Street 1:950 N. YORK ROAD
Mailing Address - Street 2:STE 101
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8608
Mailing Address - Country:US
Mailing Address - Phone:630-325-4255
Mailing Address - Fax:630-325-2147
Practice Address - Street 1:950 N YORK ROAD
Practice Address - Street 2:STE 101
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8608
Practice Address - Country:US
Practice Address - Phone:630-325-4255
Practice Address - Fax:630-325-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL653850Medicare ID - Type Unspecified