Suburban Metabolic Institute, Llc

LBN: Suburban Metabolic Institute, Llc
Suburban Metabolic Institute, Llc is an health care organization with primary practice located at 908 N Elm St Ste 309 , Hinsdale IL 60521-3625. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Medical Specialty. Other Service Providers / Specialist is the primary health care specialty. Suburban Metabolic Institute, Llc can be contacted via phone (708) 484-0621, or through Headley, Ryan C. via phone (708) 484-0621.

Contact Information

Primary practice address
908 N Elm St Ste 309 Hinsdale IL 60521-3625
Fax: (708) 484-0250
Website:
Authorized official contact:
Name: Headley, Ryan C. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036114720 Illinois
Other Service Providers / Specialist 174400000X 036118355 Illinois
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1659690022
LBN Legal business name Suburban Metabolic Institute, Llc
DBA Doing business as
Authorized official Headley, Ryan C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2010
Last updated Nov 1st, 2023 - about last year

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 1659690022 NPPES
Illinois MEDICAID 03611470

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