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Organization
SUBURBAN HOME PHYSICIANS,LLC
Active
Organization
SUBURBAN HOME PHYSICIANS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY E GUMILA (PRESIDENT)
(224) 653-9000
Entity
Organization
Contact information
Practice address
830 E. HIGGINS RD., SUITE 113A, SCHAUMBURG, IL 60173-4768
(224) 653-9000
(224) 653-8459
Mailing address
830 E. HIGGINS RD., SUITE 113A, SCHAUMBURG, IL 60173-4768
(224) 653-9000
(224) 653-8459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-112261
IL
207R00000X
Internal Medicine Physician
Primary
036-115260
IL
Other
Enumeration date
02/19/2009
Last updated
03/10/2011
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