# SUBURBAN PEDIATRIC THERAPIES

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

## Provider details

- **NPI number:** 1518006972
- **Authorized official:** KARIN E SUDLOW (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (630) 236-7000

## Contact information

- **Practice address:** 3965 75TH ST, SUITE 104, AURORA, IL 60504-7913
- **Practice address phone:** (630) 236-7000
- **Practice address fax:** (630) 236-7800
- **Mailing address:** 3965 75TH ST, SUITE 104, AURORA, IL 60504-7913
- **Mailing address phone:** (630) 236-7000
- **Mailing address fax:** (630) 236-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020