SUBURBAN MEDICAL GROUP CORP NPI 1134824410

NPI Information

  • NPI: 1134824410
  • Provider Name: SUBURBAN MEDICAL GROUP CORP
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 14D2292388
  • Address: 200 N GARY AVE
    CAROL STREAM, IL
    ZIP 60188
  • Phone: (630) 326-8766

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NPI Details

SUBURBAN MEDICAL GROUP CORP is an urgent care clinic center in Carol Stream, IL. SUBURBAN MEDICAL GROUP CORP NPI is 1134824410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 N GARY AVE
CAROL STREAM, IL
ZIP 60188-834
Phone: (630) 326-8766
Fax: (630) 326-8768

The provider's authorized official is Mohd Mohiuddin .
The authorized official title is President and has the following contact phone number (630) 360-2958.

The CLIA number assigned to this NPI record is 14D2292388 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2023 and was last updated on 5/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeNo
3261QU0200XClinic/CenterUrgent CareYes
4261QX0100XClinic/CenterOccupational MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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