South Suburban Multi Specialty Group Ltd

NPI #1154095800 in Oak Forest, Illinois

Provider Information

NPI Number: 1154095800
Entity Type: Organization
Organization Name: South Suburban Multi Specialty Group Ltd
Primary Specialty: Internal Medicine
Enumeration Date: Aug 5, 2021
Last Updated: Aug 5, 2021

Practice Location

Address: 6300 159TH ST STE C
City: Oak Forest
State: Illinois
ZIP Code: 60452-2779
Phone: (708) 535-3300

Authorized Official

Name: HANAN H YOUSIF
Title: PRESIDENT
Phone: (708) 535-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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