Organization
SUBURBAN INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNAZ AZAD (MD OWNER)
(708) 704-6787
Entity
Organization
Contact information
Practice address
580 BANKVIEW DR, FRANKFORT, IL 60423-1382
(708) 704-6787
(708) 827-0400
Mailing address
PO BOX 735548, CHICAGO, IL 60673-5548
(708) 704-6787
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036105849
IL
282N00000X
General Acute Care Hospital
Primary
036105849
IL
Other
Enumeration date
11/15/2013
Last updated
05/12/2026
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