| Suburban Medical Center, S.c | |
|
300 Fox Gln Barrington IL 60010-1818 | |
| (847) 382-6870 | |
| (847) 382-6083 |
| Full Name | Suburban Medical Center, S.c |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Fox Gln, Barrington, Illinois |
| Authorized Official Name and Position | Ritesh Patel (OWNER) |
| Authorized Official Contact | 8479959500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Medical Center, S.c 300 Fox Gln Barrington IL 60010-1818 Ph: (847) 382-6870 | Suburban Medical Center, S.c 300 Fox Gln Barrington IL 60010-1818 Ph: (847) 382-6870 |
| NPI Number | 1063695682 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5496780595 |
|---|---|
| Medicare Enrollment ID | O20050928000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063695682 | NPI | - | NPPES |
| 212292 | Other | IL | MEDICARE GROUP NUMBER |
| 4900938 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036056234 | Medicaid | IL | |
| 40734 | Other | IL | ADVOCATE PHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036056234 (Illinois) | Primary |
| Provider Name | Padmini Thakkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467461863 PECOS PAC ID: 4486689585 Enrollment ID: I20050928000159 |
| Provider Name | Ritesh D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548371982 PECOS PAC ID: 1254337298 Enrollment ID: I20061013000301 |
| Provider Name | Raj D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093004459 PECOS PAC ID: 8123249828 Enrollment ID: I20141022000628 |
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