Organization
UNITED MEDICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAIR A SULEIMAN M.D. (PRESIDENT)
(630) 369-9588
Entity
Organization
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
55 E 87TH ST, NAPERVILLE, IL 60565-6371
(630) 369-9588
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215622
BLUE SHIELD
IL
Enumeration date
03/16/2007
Last updated
08/22/2020
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