Organization
SUBURBAN DENTAL SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBINA NGUYEN (OWNER)
(847) 854-0525
Entity
Organization
Contact information
Practice address
500 N MCLEAN BLVD STE 102, ELGIN, IL 60123-3275
(847) 854-3031
(224) 227-6906
Mailing address
500 N MCLEAN BLVD STE 102, ELGIN, IL 60123-3275
(847) 854-3031
(224) 227-6906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.025559
IL
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
07/21/2022
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