| Suburban Home Physicians,llc | |
|
830 E. Higgins Rd. Suite 113a Schaumburg IL 60173-4768 | |
| (224) 653-9000 | |
| (224) 653-8459 |
| Full Name | Suburban Home Physicians,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 E. Higgins Rd., Schaumburg, Illinois |
| Authorized Official Name and Position | Jerry E Gumila (PRESIDENT) |
| Authorized Official Contact | 2246539000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Home Physicians,llc 830 E. Higgins Rd. Suite 113a Schaumburg IL 60173-4768 Ph: (224) 653-9000 | Suburban Home Physicians,llc 830 E. Higgins Rd. Suite 113a Schaumburg IL 60173-4768 Ph: (224) 653-9000 |
| NPI Number | 1770722407 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770722407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-115260 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036-112261 (Illinois) | Secondary |
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