| Suburban Medical Center, S.c | |
|
380 E Northwest Hwy Ste 200 Des Plaines IL 60016-2274 | |
| (847) 382-6870 | |
| (847) 382-6083 |
| Full Name | Suburban Medical Center, S.c |
|---|---|
| Speciality | Family Medicine |
| Location | 380 E Northwest Hwy Ste 200, Des Plaines, Illinois |
| Authorized Official Name and Position | Ritesh Patel (OWNER) |
| Authorized Official Contact | 8479959500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Medical Center, S.c 1900 Army Trail Rd Hanover Park IL 60133-8974 Ph: (847) 995-9500 | Suburban Medical Center, S.c 380 E Northwest Hwy Ste 200 Des Plaines IL 60016-2274 Ph: (847) 382-6870 |
| NPI Number | 1063695682 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063695682 | NPI | - | NPPES |
| 40734 | Other | IL | ADVOCATE PHO |
| 212292 | Other | IL | MEDICARE GROUP NUMBER |
| 036056234 | Medicaid | IL | |
| 4900938 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036056234 (Illinois) | Primary |
Davis Health Ventures LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy Ste 202, Des Plaines, IL 60016 Phone: 817-503-2300 |
Dempster Plaza Pediatrics Assoc, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Golf Rd Ste 303, Des Plaines, IL 60016 Phone: 847-297-6600 Fax: 847-297-5270 |
Bridgecare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018 Phone: 224-803-2273 Fax: 224-803-2274 |
Susana C Lapid Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy, 3rd Floor, Des Plaines, IL 60016 Phone: 847-296-4447 Fax: 847-398-4779 |
Medplus Physician Partners I, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9680 Golf Rd, 2nd Floor, Des Plaines, IL 60016 Phone: 847-699-0801 Fax: 847-296-5686 |
Midwest Cosmetic Institute LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Graceland Ave, Des Plaines, IL 60016 Phone: 847-537-5555 Fax: 847-537-6005 |