Provider Demographics
NPI:1760534663
Name:DIGESTIVE HEALTH SERVICES, SC
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH SERVICES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-434-9312
Mailing Address - Street 1:3825 HIGHLAND AVE
Mailing Address - Street 2:TOWER 2-SUITE 302
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1552
Mailing Address - Country:US
Mailing Address - Phone:630-434-9312
Mailing Address - Fax:630-434-9360
Practice Address - Street 1:3825 HIGHLAND AVE
Practice Address - Street 2:TOWER 2-SUITE 302
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1552
Practice Address - Country:US
Practice Address - Phone:630-434-9312
Practice Address - Fax:630-434-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty