| NPI | 1588873293 |
|---|---|
| Other Name | SUBURBAN HEALTHCARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SANJAY PETHKAR President 815-609-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036091255) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-10-31 |