Provider Demographics
NPI:1770843088
Name:YORK ENDOSCOPY CENTER, INC.
Entity Type:Organization
Organization Name:YORK ENDOSCOPY CENTER, INC.
Other - Org Name:DIGESTIVE DISEASE ASSOC., LTD.
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
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 RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-325-4255
Mailing Address - Fax:630-325-2147
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-325-4255
Practice Address - Fax:630-325-2147
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIGESTIVE DISEASE ASSOC., LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical