Suburban Primary Care
NPI #1114104783 in Arlington Heights, Illinois
Provider Information
- NPI Number
- 1114104783
- Entity Type
- Organization
- Organization Name
- Suburban Primary Care
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 26, 2008
- Last Updated
- Jan 26, 2008
Practice Location
- Address
- 121 S WILKE RD
- Address 2
- SUITE 110
- State
- Illinois
- ZIP Code
- 60005-1533
- Phone
- (847) 398-4536
Authorized Official
- Name
- DR. MAMDOUH LATIF ISHAK, M.D.
- Title
- PRESIDENT
- Phone
- (847) 398-4536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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