| West Suburban Medical Group | |
|
1717 Glenwood Ave Joliet IL 60435-5835 | |
| (815) 744-8600 | |
| Not Available |
| Full Name | West Suburban Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Glenwood Ave, Joliet, Illinois |
| Authorized Official Name and Position | Rubina Tahseen (OWNER) |
| Authorized Official Contact | 6303756500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Medical Group Po Box 3466 Lisle IL 60532-8466 Ph: (630) 375-6500 | West Suburban Medical Group 1717 Glenwood Ave Joliet IL 60435-5835 Ph: (815) 744-8600 |
| NPI Number | 1073745758 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073745758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-107398 (Illinois) | Primary |
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