Individual
SURESH ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 E PHILLIP RD, VERNON HILLS, IL 60061-1700
(847) 680-0500
Mailing address
75 REMIT DR NO 1218, CHICAGO, IL 60675-1218
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-055365
IL
207R00000X
Internal Medicine Physician
036055365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055365-4
—
IL
Enumeration date
07/05/2006
Last updated
03/15/2012
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