# MAHRUKH SUBHANI INC

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

## Provider details

- **NPI number:** 1477846830
- **Authorized official:** MRS. MAHRUKH SUBHANI MD (CEO)
- **Authorized official phone:** (630) 295-8943

## Contact information

- **Practice address:** 1 TIFFANY POINT G 15, BLOOMINGDALE, IL 60108
- **Practice address phone:** (630) 295-8943
- **Practice address fax:** (630) 295-8948
- **Mailing address:** 1 TIFFANY PT STE G15, BLOOMINGDALE, IL 60108-2962
- **Mailing address phone:** (630) 295-8943
- **Mailing address fax:** (630) 295-8948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 04/18/2012