Provider Demographics
NPI:1174573935
Name:SUBURBAN MATERNAL FETAL MEDICINE
Entity type:Organization
Organization Name:SUBURBAN MATERNAL FETAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:847-490-6960
Mailing Address - Street 1:PO BOX 958216
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60195-8216
Mailing Address - Country:US
Mailing Address - Phone:847-490-6960
Mailing Address - Fax:847-490-2916
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:ST. ALEXIUS HOSPITAL 2ND FLOOR
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194-1018
Practice Address - Country:US
Practice Address - Phone:847-490-6960
Practice Address - Fax:847-490-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty