Organization
SUBURBAN NEUROLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE SANTWANI D.O. (PHYSICIAN/CO-OWNER)
(630) 208-7790
Entity
Organization
Contact information
Practice address
302 RANDALL RD STE 208, SUITE 208, GENEVA, IL 60134-4209
(630) 208-7790
(630) 563-2814
Mailing address
302 RANDALL RD STE 208, SUITE 208, GENEVA, IL 60134-4209
(630) 208-7790
(630) 563-2814
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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