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Organization

SAMIR SULEIMAN MD SC

Active
Other names
Samir Suleiman MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMIR SULEIMAN M.D (OWNER/ DOCTOR)
(708) 583-1410
Entity
Organization

Contact information

Practice address
7617 W BELMONT AVE, ELMWOOD PARK, IL 60707-1113
(708) 583-1410
(708) 453-4690
Mailing address
7617 W BELMONT AVE, ELMWOOD PARK, IL 60707-1113
(708) 583-1410
(708) 453-4690

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036071782
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036071782
IL
Enumeration date
09/14/2007
Last updated
08/19/2011
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