Diamond Gastroenterology Sc - Medicare Primary Care in Oak Park, IL

Diamond Gastroenterology Sc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Oak Park, Illinois. The current practice location for Diamond Gastroenterology Sc is 1010 Lake St Ste 424, Oak Park, Illinois. For appointments, you can reach them via phone at (708) 613-4417. The mailing address for Diamond Gastroenterology Sc is 1010 Lake St Ste 424, Oak Park, Illinois and phone number is (708) 613-4417.

Diamond Gastroenterology Sc is licensed to practice in Illinois (license number 36120184). The clinic also participates in the medicare program and its NPI number is 1043624752. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (708) 613-4417.

Contact Information

Diamond Gastroenterology Sc
1010 Lake St Ste 424
Oak Park
IL 60301-1185
(708) 613-4417
Not Available

Primary Care Clinic Profile

Full NameDiamond Gastroenterology Sc
SpecialityInternal Medicine
Location1010 Lake St Ste 424, Oak Park, Illinois
Authorized Official Name and PositionIlysa Diamond (OWNER)
Authorized Official Contact7086134417
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diamond Gastroenterology Sc
1010 Lake St Ste 424
Oak Park
IL 60301-1185

Ph: (708) 613-4417
Diamond Gastroenterology Sc
1010 Lake St Ste 424
Oak Park
IL 60301-1185

Ph: (708) 613-4417

NPI Details:

NPI Number1043624752
Provider Enumeration Date06/20/2014
Last Update Date08/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8022235837
Medicare Enrollment IDO20140818002229

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Medical Identifiers

Medical identifiers for Diamond Gastroenterology Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043624752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 36120184 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Diamond Gastroenterology Sc acts as a billing entity for following providers:
Provider NameIlysa R Diamond
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356596332
PECOS PAC ID: 6204998396
Enrollment ID: I20130429000632

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