Suburban Medical Group Corp
A Medicare group practice based in Bolingbrook, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3476967399), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3476967399
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210203002845 | IL | Part B Supplier - Clinic/Group Practice | 1871180901 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Suburban Medical Group Corp
dba Suburban Medical Group
- Urgent Care Clinic/Center
- Bolingbrook, IL
- NPI 1871180901
-
Suburban Medical Group Corp
- Urgent Care Clinic/Center
- Carol Stream, IL
- NPI 1134824410
Practice locations
- Carol Stream, IL1
- Bolingbrook, IL1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Sheena Aleena Eettickal, D.O
- Family Medicine Physician
- Carol Stream, IL
- NPI 1356790653
-
Mohd Noman Mohiuddin, M.D
- Family Medicine Physician
- Mount Pleasant, WI
- NPI 1154685089
-
Fatima Qadri, MD
- Hospitalist Physician
- McHenry, IL
- NPI 1801417217
-
Uzair Misbahuddin Syed, M.D.
- Family Medicine Physician
- Wheaton, IL
- NPI 1033366018
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.