| Suburban Medical Group Corp | |
|
693 W Boughton Rd Bolingbrook IL 60440-1752 | |
| (630) 464-2627 | |
| Not Available |
| Full Name | Suburban Medical Group Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 693 W Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Mohd. Mohiuddin (PRESIDENT) |
| Authorized Official Contact | 6303268766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Medical Group Corp 693 W Boughton Rd Bolingbrook IL 60440-1752 Ph: (630) 326-8766 | Suburban Medical Group Corp 693 W Boughton Rd Bolingbrook IL 60440-1752 Ph: (630) 464-2627 |
| NPI Number | 1871180901 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 3476967399 |
|---|---|
| Medicare Enrollment ID | O20210203002845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871180901 | NPI | - | NPPES |
| Provider Name | Uzair M Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033366018 PECOS PAC ID: 8921292210 Enrollment ID: I20101101000274 |
| Provider Name | Mohd N Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154685089 PECOS PAC ID: 6204083843 Enrollment ID: I20120904000427 |
| Provider Name | Sheena Aleena Eettickal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356790653 PECOS PAC ID: 5991079972 Enrollment ID: I20190808000002 |
| Provider Name | Fatima Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801417217 PECOS PAC ID: 2567801210 Enrollment ID: I20240415003034 |
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