Suburban Medical Group, LLC
NPI #1518380633 in Park Ridge, Illinois
Provider Information
- NPI Number
- 1518380633
- Entity Type
- Organization
- Organization Name
- Suburban Medical Group, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 24, 2014
- Last Updated
- Jan 24, 2014
Practice Location
- Address
- 1600 DEMPSTER ST
- Address 2
- SUITE 103
- City
- Park Ridge
- State
- Illinois
- ZIP Code
- 60068-1109
- Phone
- (847) 296-9040
Authorized Official
- Name
- MR. PRITESH PATEL, OT
- Title
- OWNER
- Phone
- (847) 296-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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