South Suburban Gastroenterology, S.c.
NPI 1417167040 · Gastroenterology Physician · Homewood, IL
South Suburban Gastroenterology, S.c. is a Gastroenterology Physician organization in Homewood, IL (NPI 1417167040).
Provider details
- NPI number
- 1417167040
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abraham Fallah, President(708) 799-3305
- License
- 04203735 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2015-04-17
Frequently asked questions
- What is South Suburban Gastroenterology, S.c.'s NPI number?
- South Suburban Gastroenterology, S.c.'s National Provider Identifier (NPI) is 1417167040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Suburban Gastroenterology, S.c.?
- South Suburban Gastroenterology, S.c. is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is South Suburban Gastroenterology, S.c. located?
- South Suburban Gastroenterology, S.c.'s practice location on file with NPPES is 17901 Governors Hwy, Homewood, IL 60430-1144.
- What is South Suburban Gastroenterology, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for South Suburban Gastroenterology, S.c. is (708) 799-3305.
- Who is the authorized official for South Suburban Gastroenterology, S.c.?
- The authorized official listed on South Suburban Gastroenterology, S.c.'s NPPES record is Abraham Fallah, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Suburban Gastroenterology, S.c.'s NPI active?
- Yes — South Suburban Gastroenterology, S.c.'s NPI (1417167040) is active in the NPPES registry as of the last update on 2015-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.