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Organization

SUBURBAN URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RITESH D PATEL M.D. (CEO)
(847) 995-9500
Entity
Organization

Contact information

Practice address
1900 ARMY TRAIL RD, HANOVER PARK, IL 60133-8974
(847) 995-9500
(847) 995-9501
Mailing address
1900 ARMY TRAIL RD, HANOVER PARK, IL 60133-8974

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036115260
IL
Enumeration date
09/19/2016
Last updated
09/19/2016
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