SUBURBAN MEDICAL GROUP, LLC is a specialist in Park Ridge, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUBURBAN MEDICAL GROUP, LLC NPI is 1518380633. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1600 DEMPSTER ST
SUITE 103
PARK RIDGE, IL
ZIP 60068-109
Phone: (847) 296-9040
Fax: (847) 296-9050
The provider's authorized official is Pritesh Patel .
The authorized official title is Owner and has the following contact phone number (847) 296-9040.
The CLIA number assigned to this NPI record is 14D2214050 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/24/2014 and was last updated on 1/24/2014.