# SUBURBAN NEUROLOGY GROUP, LLC

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

## Provider details

- **NPI number:** 1740368083
- **Authorized official:** KISHORE SANTWANI D.O. (PHYSICIAN/CO-OWNER)
- **Authorized official phone:** (630) 208-7790

## Contact information

- **Practice address:** 302 RANDALL RD STE 208, SUITE 208, GENEVA, IL 60134-4209
- **Practice address phone:** (630) 208-7790
- **Practice address fax:** (630) 563-2814
- **Mailing address:** 302 RANDALL RD STE 208, SUITE 208, GENEVA, IL 60134-4209
- **Mailing address phone:** (630) 208-7790
- **Mailing address fax:** (630) 563-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020