NPI 1275722613

Suburban Psychiatry and Counseling Center LTD.

Organisation Exclusive Provider Organization Willowbrook, IL

Practice location

Address: 621 Plainfield Rd STE 110, Willowbrook, IL 60527-5385
Phone: (630) 325-1799
Fax: (630) 325-1882

Authorised official

Name: Syed Yousuf Khadri
Title: Owner
Phone: (630) 985-1281

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1275722613
Entity type: Organization
NPI issued: 22 Oct 2007
Record last updated: 11 Mar 2008

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.