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Suburban Medical Group, LLC

NPI 1518380633ActiveOrganization· Specialist· Park Ridge, IL

Specialist in Park Ridge, Illinois, registered in NPPES in January 2014. The authorized official on file is Pritesh Patel, OT, Owner.

Overview

NPI1518380633
StatusActive
Entity typeOrganization
NPI issuedJan 24, 2014
Last updated in NPPESJan 24, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X056.006288IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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