Organization
SUBURBAN INFECTIOUS DISEASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHNAZ AZAD MD (INFECTIOUS DISEASE SPECIALIST)
(708) 207-1831
Entity
Organization
Contact information
Practice address
3800 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461
(708) 207-1831
Mailing address
3800 W 203RD ST, OLYMPIA FIELDS, IL 60461
(708) 207-1831
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036105849
IL
Other
Enumeration date
11/15/2013
Last updated
02/04/2014
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