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Organization
SUBURBAN WELLNESS SC
Active
Organization
SUBURBAN WELLNESS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDARSANA CHAKRABARTI MD (OWNER)
(708) 737-7136
Entity
Organization
Contact information
Practice address
15750 S BELL RD STE 2D, HOMER GLEN, IL 60491-8420
(708) 737-7136
(708) 887-5886
Mailing address
113 CIRCLE RIDGE DR, BURR RIDGE, IL 60527-8380
(708) 737-7136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119041
IL
Other
Enumeration date
10/29/2013
Last updated
04/06/2017
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