Suburban Neurology
Psychiatry & Neurology, Neurology in Lombard, IL. Organization (NPI-2).
NPI number1043046949
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1043046949
- Entity type
- Organization (NPI-2)
- Legal business name
- Suburban Neurology
- Organization subpart
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
Practice location
555 E Butterfield Rd Ste 205Lombard, IL 60148-5612
Phone 630-299-4342 · Fax 630-405-5857
Mailing address
555 E Butterfield Rd Ste 205Lombard, IL 60148-5612
Phone 630-299-4342 · Fax 630-405-5857
Authorized official
Subhasree Misra
Owner
7086468352
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