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South Suburban Gastroenterology, S.C.

Gastroenterology Physician in Homewood, IL · enumerated 2007 · authorized official Abraham Fallah, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417167040

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Registry record

Entity type Organization (Type 2)
Legal business name South Suburban Gastroenterology, S.C.
Practice address 17901 Governors Hwy, Suite 106, Homewood, IL, 60430
Fax (708) 799-8592
Enumeration date May 23, 2007
Last updated in NPPES Apr 17, 2015

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 04203735 (IL) Primary

Authorized official

Name Abraham Fallah
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is South Suburban Gastroenterology, S.C.?
South Suburban Gastroenterology, S.C. is registered in NPPES as a Gastroenterology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-17.