Organization
SUBURBAN PEDIATRICS MEDICAL CENTER, LLC
Active
Other names
Dr. Carletha Hughes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLETHA CAROL HUGHES MD (OWNER)
(708) 754-3507
Entity
Organization
Contact information
Practice address
165 W 10TH ST, CHICAGO HEIGHTS, IL 60411-2000
(708) 754-3507
(708) 754-6153
Mailing address
3037 CARMEL DR, FLOSSMOOR, IL 60422-2263
(773) 983-3948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036124598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023249075
—
IL
Enumeration date
07/31/2017
Last updated
07/31/2017
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