| Suburban Medical & Wellness Center, Llc | |
|
800 E Woodfield Rd Suite 102 Schaumburg IL 60173-4780 | |
| (847) 995-9500 | |
| (847) 995-9501 |
| Full Name | Suburban Medical & Wellness Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Ritesh D 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 & Wellness Center, Llc 800 E Woodfield Rd Suite 102 Schaumburg IL 60173-4780 Ph: (847) 995-9500 | Suburban Medical & Wellness Center, Llc 800 E Woodfield Rd Suite 102 Schaumburg IL 60173-4780 Ph: (847) 995-9500 |
| NPI Number | 1851729081 |
|---|---|
| Provider Enumeration Date | 10/25/2013 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 2163648213 |
|---|---|
| Medicare Enrollment ID | O20140725000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851729081 | NPI | - | NPPES |
| 036115260 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036115260 (Illinois) | Primary |
| Provider Name | Ritesh D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548371982 PECOS PAC ID: 1254337298 Enrollment ID: I20061013000301 |
| Provider Name | Leta M Vega |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578523478 PECOS PAC ID: 6901902345 Enrollment ID: I20070502000440 |
| Provider Name | Jitendra D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508915539 PECOS PAC ID: 2264538222 Enrollment ID: I20070508000348 |
| Provider Name | Raj D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093004459 PECOS PAC ID: 8123249828 Enrollment ID: I20141022000628 |
| Provider Name | Smruti Mishra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033525225 PECOS PAC ID: 9537481486 Enrollment ID: I20141203000810 |
| Provider Name | Maryam A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447513676 PECOS PAC ID: 4486975265 Enrollment ID: I20150604002315 |
| Provider Name | Deepak Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053956292 PECOS PAC ID: 0648606657 Enrollment ID: I20200212000100 |
| Provider Name | Sheetalben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644525 PECOS PAC ID: 6507269388 Enrollment ID: I20210730002883 |
| Provider Name | Prachi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124607056 PECOS PAC ID: 6406250760 Enrollment ID: I20210809001589 |
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