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Contact Information

PATRICK SUBERLAK, MD
3249 S. OAK PARK AVE
BERWYN, IL60402
 Phone: 708-783-3403
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PATRICK SUBERLAK · (Male)

NPI # 1376802256
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2012
Last updated 02/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A143313
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    2425 SAMARITAN DRIVE
    SAN JOSE, CA 95124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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