Suburban Medical Clinic Llc

LBN: Suburban Medical Clinic Llc
Suburban Medical Clinic Llc is an health care organization with primary practice located at 1802 Irving Park Rd , Hanover Park IL 60133-3254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Suburban Medical Clinic Llc can be contacted via phone (630) 289-0440, or through Thakkar, Anand M via phone (630) 289-0440.

Contact Information

Primary practice address
1802 Irving Park Rd Hanover Park IL 60133-3254
Phone: (630) 289-0440
Fax: (630) 289-0442
Website:
Map and Directions
Authorized official contact:
Name: Thakkar, Anand M Doctor of Medicine (MD)
Phone: (630) 289-0440

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1386945319
LBN Legal business name Suburban Medical Clinic Llc
DBA Doing business as
Authorized official Thakkar, Anand M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386945319 NPPES
Illinois MEDICAID 036112261

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