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Organization
SUBURBAN MEDICAL GROUP CORP
Active
Organization
SUBURBAN MEDICAL GROUP CORP
Active
Other names
Suburban Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MOHD. MOHIUDDIN MD (PRESIDENT)
(630) 326-8766
Entity
Organization
Contact information
Practice address
693 W BOUGHTON RD, BOLINGBROOK, IL 60440-1752
(630) 464-2627
Mailing address
693 W BOUGHTON RD, BOLINGBROOK, IL 60440-1752
(630) 326-8766
(630) 326-8768
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
12/23/2020
Last updated
05/10/2024
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