Organization
SUBURBAN GYNECOLOGY, LLC
Active
Other names
Suburban Obstetrics & Gynecology, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
NAHLA MERHI MD (PROVIDER)
(815) 685-1971
Entity
Organization
Contact information
Practice address
1301 COPPERFIELD AVENUE, SUITE 113, JOLIET, IL 60432-2004
(815) 727-7515
(815) 727-5147
Mailing address
1890 SILVER CROSS BLVD, SUITE #375, NEW LENOX, IL 60451
(815) 717-8727
(815) 717-8722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-107262
IL
207V00000X
Obstetrics & Gynecology Physician
036107262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107262
—
IL
01
—
14D1089841
CLIA
IL
Enumeration date
07/25/2007
Last updated
02/08/2012
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