NPI 1134824410
Suburban Medical Group Corp
Practice location
- Address
- 200 N Gary Ave, Carol Stream, IL 60188-1834
- Phone
- (630) 326-8766
- Fax
- (630) 326-8768
Authorised official
- Name
- Mohd Mohiuddin
- Title
- President
- Phone
- (630) 360-2958
Registered specialties (4)
Urgent Care Clinic/Center
Primary
Family Medicine Physician
General Practice Physician
Occupational Medicine Clinic/Center
Registry record
- NPI
- 1134824410
- Entity type
- Organization
- NPI issued
- 4 Apr 2023
- Record last updated
- 10 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.