| Suburban Infectious Disease LLC | |
|
580 Bankview Dr Frankfort IL 60423-1382 | |
| (708) 704-6787 | |
| (708) 827-0400 |
| Full Name | Suburban Infectious Disease LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 580 Bankview Dr, Frankfort, Illinois |
| Authorized Official Name and Position | Shahnaz Azad (MD OWNER) |
| Authorized Official Contact | 7087046787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Infectious Disease LLC Po Box 735548 Chicago IL 60673-5548 Ph: (708) 704-6787 | Suburban Infectious Disease LLC 580 Bankview Dr Frankfort IL 60423-1382 Ph: (708) 704-6787 |
| NPI Number | 1114357845 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 05/12/2026 |
| Certification Date | 05/12/2026 |
| Medicare PECOS PAC ID | 0345479358 |
|---|---|
| Medicare Enrollment ID | O20140213001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114357845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036105849 (Illinois) | Primary |
| Provider Name | Shahnaz Azad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922062694 PECOS PAC ID: 0345370193 Enrollment ID: I20100604001088 |
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