Organization
SOUTH SUBURBAN ARTHRITIS GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORBY BURKMIER (OFFICE MANAGER)
(708) 481-4900
Entity
Organization
Contact information
Practice address
2555 W. LINCOLN HWY, SUITE 200, OLYMPIA FIELDS, IL 60461-1936
(708) 481-4900
(708) 481-9440
Mailing address
2555 W. LINCOLN HWY, SUITE 200, OLYMPIA FIELDS, IL 60461-1936
(708) 481-4900
(708) 481-9440
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036063879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622409
BCBS ID
IL
01
—
CF9106
RAILROAD MEDICARE
IL
Enumeration date
06/02/2006
Last updated
10/26/2010
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