Provider Demographics
NPI:1700554599
Name:SUHAIL HEALTH CARE INC
Entity Type:Organization
Organization Name:SUHAIL HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-699-1553
Mailing Address - Street 1:2309 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4369
Mailing Address - Country:US
Mailing Address - Phone:630-699-1553
Mailing Address - Fax:
Practice Address - Street 1:3330 W 177TH ST
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2184
Practice Address - Country:US
Practice Address - Phone:630-699-1553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-05
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.155890OtherILLINOIS PHYSICIAN LICENSE NUMBER