Suburban Obstetrics & Gynecology, Llc.
LBN: Suburban Gynecology, Llc
Suburban Obstetrics & Gynecology, Llc. is an health care organization with primary practice located at 1301 Copperfield Avenue Suite 113, Joliet IL 60432-2004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
Suburban Gynecology, Llc can be contacted via phone (815) 727-7515, or through Merhi, Nahla via phone (815) 685-1971.
Contact Information
Primary practice address
1301 Copperfield Avenue Suite 113
Joliet IL 60432-2004
Phone: (815) 727-7515
Fax: (815) 727-5147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036107262 | Illinois |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036-107262 | Illinois |
Profile Details
| NPI number | 1063602217 |
|---|---|
| LBN Legal business name | Suburban Gynecology, Llc |
| DBA Doing business as | Suburban Obstetrics & Gynecology, Llc. |
| Authorized official | Merhi, Nahla Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Feb 8th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063602217 | NPPES |
| Illinois | Other | 14D1089841 | CLIA |
| Illinois | MEDICAID | 036107262 | CLIA |
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