# SUBURBAN PSYCHIATRY AND COUNSELING CENTER LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275722613
- **Authorized official:** DR. SYED YOUSUF KHADRI M.D. (OWNER)
- **Authorized official phone:** (630) 985-1281

## Contact information

- **Practice address:** 621 PLAINFIELD RD STE 110, WILLOWBROOK, IL 60527-5385
- **Practice address phone:** (630) 325-1799
- **Practice address fax:** (630) 325-1882
- **Mailing address:** 621 PLAINFIELD RD STE 110, WILLOWBROOK, IL 60527-5385
- **Mailing address phone:** (630) 325-1799
- **Mailing address fax:** (630) 325-1882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | IL | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 03/11/2008