Organization
NESREEN SUWAN MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NESREEN SUWAN MD (PRESIDENT)
(630) 420-8080
Entity
Organization
Contact information
Practice address
505 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2529
(630) 420-8080
(630) 952-1447
Mailing address
505 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2529
(630) 420-8080
(630) 952-1447
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099630
—
IL
01
—
K17636
MEDICARE
IL
Enumeration date
06/21/2014
Last updated
06/21/2014
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