Organization
HARI OM NAMO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN SAKHUJA M.D (PRESIDENT)
(847) 312-5606
Entity
Organization
Contact information
Practice address
404 W IRVING PARK RD, STE 3, WOOD DALE, IL 60191-1343
(224) 402-4496
Mailing address
9600 GOLF RD, DES PLAINES, IL 60016-1522
(224) 402-4496
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
042619991
IL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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