South Suburban Medical Clinic LLC
NPI #1750532420 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1750532420
- Entity Type
- Organization
- Organization Name
- South Suburban Medical Clinic LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Jan 11, 2010
Practice Location
- Address
- 3800 W 203RD ST
- Address 2
- SUITE 201
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1184
- Phone
- (708) 748-9952
Authorized Official
- Name
- NADEEM AHMAD, MD
- Title
- OWNER
- Phone
- (708) 748-9952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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