Provider Demographics
NPI:1790124204
Name:GI SOLUTIONS OF ILLINOIS, LLC
Entity Type:Organization
Organization Name:GI SOLUTIONS OF ILLINOIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-631-2728
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-631-2728
Mailing Address - Fax:773-631-8083
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-631-2728
Practice Address - Fax:773-631-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory