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Organization
SANJAY PETHKAR, M.D., S. C.
Active
Organization
SANJAY PETHKAR, M.D., S. C.
Active
Other names
Suburban Healthcare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY PETHKAR M.D. (PRESIDENT)
(815) 609-3627
Entity
Organization
Contact information
Practice address
13415 S ROUTE 59, PLAINFIELD, IL 60585-5676
(815) 609-3627
(815) 609-1328
Mailing address
PO BOX 9200, NAPERVILLE, IL 60567-0200
(815) 609-3627
(815) 609-1328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036091255
IL
Other
Enumeration date
05/21/2007
Last updated
10/31/2007
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