OrganizationActive
Pediatric and Adolescent Gastroenterology Group Inc
NPI 1336323484 · Pediatric Gastroenterology Physician · Melrose Park, IL
Provider details
- NPI number
- 1336323484
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gloria Buentello, MD(708) 499-7510
- License
- 1000155902 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 W Lake St
Suite 409
Melrose Park, IL 60610
Phone: (708) 499-7510
Fax: (708) 345-0332
Street-level locationGet directions
Mailing address
47 W Division St Unit 142
Chicago, IL 60610-2220
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2011-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.