Organization
SUBURBAN MEDICAL & REHAB CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR GOLDVEKHT M.D. (PRESIDENT)
(847) 530-9317
Entity
Organization
Contact information
Practice address
269 S ROSELLE RD, SCHAUMBURG, IL 60193-1636
(847) 807-5502
(847) 807-5508
Mailing address
269 S ROSELLE RD, SCHAUMBURG, IL 60193-1636
(847) 807-5502
(847) 807-5508
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110569
—
IL
Enumeration date
10/19/2012
Last updated
11/29/2012
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