OrganizationActive
Suburban Primary Care
NPI 1114104783 · Internal Medicine Physician · Arlington Heights, IL
Provider details
- NPI number
- 1114104783
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mamdouh Ishak, President(847) 398-4536
- License
- 0042000916 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
121 S Wilke Rd
Suite 110
Arlington Heights, IL 60005-1533
Phone: (847) 398-4536
Fax: (847) 398-4712
Approximate (ZIP-level) locationGet directions
Mailing address
121 S Wilke Rd
Arlington Heights, IL 60005-1533
Registry dates
- Enumerated
- 2008-01-26
- Last updated
- 2008-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.