Organization
SUBURBAN MEDICAL GROUP CORP
Active
Other names
Suburban Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MOHD. MOHIUDDIN MD (PRESIDENT)
(630) 326-8766
Entity
Organization
Contact information
Practice address
693 W BOUGHTON RD, BOLINGBROOK, IL 60440-1752
(630) 464-2627
Mailing address
693 W BOUGHTON RD, BOLINGBROOK, IL 60440-1752
(630) 326-8766
(630) 326-8768
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/23/2020
Last updated
05/10/2024
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