SAMIR SULEIMAN MD SC NPI 1881880672

NPI Information

NPI: 1881880672
Provider Name: SAMIR SULEIMAN MD SC

Doing Business As: SAMIR SULEIMAN MD

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
7617 W BELMONT AVE
ELMWOOD PARK, IL
ZIP 60707
Phone: (708) 583-1410
Get Directions

SAMIR SULEIMAN MD SC is an adolescent medicine pediatrics in Elmwood Park, IL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SAMIR SULEIMAN MD SC NPI is 1881880672. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Samir Suleiman Md.

The provider's business location address is:

7617 W BELMONT AVE
ELMWOOD PARK, IL
ZIP 60707-113
Phone: (708) 583-1410
Fax: (708) 453-4690

The provider's authorized official is Samir Suleiman .
The authorized official title is Owner/ Doctor and has the following contact phone number (708) 583-1410.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 8/19/2011.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	036071782	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036071782	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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