| Suburban Midwest Medicine | |
|
1012 95th St Suite 3 Naperville IL 60564-5041 | |
| (630) 856-8790 | |
| (630) 548-3421 |
| Full Name | Suburban Midwest Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1012 95th St, Naperville, Illinois |
| Authorized Official Name and Position | Ruby Mann (DIRECTOR) |
| Authorized Official Contact | 6308566844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Midwest Medicine 1012 95th St Suite 3 Naperville IL 60564-5041 Ph: (630) 856-8790 | Suburban Midwest Medicine 1012 95th St Suite 3 Naperville IL 60564-5041 Ph: (630) 856-8790 |
| NPI Number | 1124455126 |
|---|---|
| Provider Enumeration Date | 10/04/2013 |
| Last Update Date | 06/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124455126 | NPI | - | NPPES |
| 399980 | Other | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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