Organization
SUBURBAN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRITESH PATEL OT (OWNER)
(847) 296-9040
Entity
Organization
Contact information
Practice address
1600 DEMPSTER ST, SUITE 103, PARK RIDGE, IL 60068-1109
(847) 296-9040
(847) 296-9050
Mailing address
1600 DEMPSTER ST, SUITE 103, PARK RIDGE, IL 60068-1109
(847) 296-9040
(847) 296-9050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056.006288
IL
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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