| Suburban Wellness Sc | |
|
15750 S Bell Rd Ste 2d Homer Glen IL 60491-8420 | |
| (708) 737-7136 | |
| (708) 887-5886 |
| Full Name | Suburban Wellness Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15750 S Bell Rd Ste 2d, Homer Glen, Illinois |
| Authorized Official Name and Position | Sudarsana Chakrabarti (OWNER) |
| Authorized Official Contact | 7087377136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Wellness Sc 113 Circle Ridge Dr Burr Ridge IL 60527-8380 Ph: (708) 737-7136 | Suburban Wellness Sc 15750 S Bell Rd Ste 2d Homer Glen IL 60491-8420 Ph: (708) 737-7136 |
| NPI Number | 1871921999 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 04/06/2017 |
| Medicare PECOS PAC ID | 8123256310 |
|---|---|
| Medicare Enrollment ID | O20140115000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871921999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036119041 (Illinois) | Primary |
| Provider Name | Sudarsana Chakrabarti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104096940 PECOS PAC ID: 5991869190 Enrollment ID: I20090203000572 |
Diana M. Burda, Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15929 S Bell Rd, Homer Glen, IL 60491 Phone: 708-745-5600 Fax: 708-745-5268 | |
O'connor Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 W 143rd St, Homer Glen, IL 60491 Phone: 708-645-6400 Fax: 708-645-6404 | |
Jean M. Garbolski Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12701 W 143rd St, Homer Glen, IL 60491 Phone: 708-645-6400 Fax: 708-645-6404 |