South Suburban Family Health, Sc

NPI #1093956922 in Crete, Illinois

Provider Information

NPI Number: 1093956922
Entity Type: Organization
Organization Name: South Suburban Family Health, Sc
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2009
Last Updated: Mar 24, 2009

Practice Location

Address: 1028 E STEGER RD
City: Crete
State: Illinois
ZIP Code: 60417-1362
Phone: (708) 955-8196

Authorized Official

Name: DR. TONJA RAQUEL AUSTIN, M.D.
Title: PRESIDENT
Phone: (708) 955-8196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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