Healthcare Provider Details

I. General information

NPI: 1093922064
Provider Name (Legal Business Name): PEDIATRIC SUBSPECIALTY AND HOSPITALIST ASSOCIATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH STREET
OAK LAWN IL
60453
US

IV. Provider business mailing address

621 PLAINFIELD RD #105
WILLOWBROOK IL
60527
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-5580
  • Fax: 708-684-4068
Mailing address:
  • Phone: 630-321-9811
  • Fax: 630-321-9813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: RABI SULAYMAN
Title or Position: OWNER
Credential: MD
Phone: 708-684-5675