Organization
SANG H SUH, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG H SUH M.D. S.C. (OWNER)
(630) 964-7382
Entity
Organization
Contact information
Practice address
500 VALLEY VIEW DR, DOWNERS GROVE, IL 60516-3603
(630) 964-7382
Mailing address
5501 W 79TH ST, SUITE 400, BURBANK, IL 60459-1784
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036055218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055218
—
IL
Enumeration date
09/28/2006
Last updated
10/28/2014
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