SUBURBAN INFECTIOUS DISEASE LLC (NPI# 1114357845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114357845 |
| Entity Type | Organization |
| Organization Name | SUBURBAN INFECTIOUS DISEASE LLC |
| Practice Address |
3800 W 203rd St Suite 201 Olympia Fields IL 60461 |
| Mailing Address |
3800 W 203rd St Olympia Fields IL 60461 |
| Practice Telephone | 7082071831 |
| Mailing Telephone | 7082071831 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | DR. SHAHNAZ AZAD (INFECTIOUS DISEASE SPECIALIST) |
| Authorized Official Telephone | 7082071831 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 036105849 | IL | Hospitals |
| Street Address |
3800 W 203RD ST SUITE 201 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828140 | Barbara Zeng Kwasny | Nurse Practitioner | 3800 W 203rd St, Olympia Fields, IL 60461-1184 | 2005-11-17 |
| 1518583491 | Stephanie Ward | Nurse Practitioner | 3800 W 203rd St, Olympia Fields, IL 60461-1184 | 2020-06-17 |
| 1184089351 | Andrea Cashman Duerinck | Nurse Practitioner | 3800 W 203rd St, Olympia Fields, IL 60461-1184 | 2015-12-15 |
| 1932523362 | Pulmonary and Sleep Associates Inc. | Clinic/Center | 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 | 2014-02-05 |
| 1538504493 | Hassan George Azar | Internal Medicine | 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 | 2013-05-06 |
| 1366716185 | St James Hospital United States Catholic Conference | Internal Medicine | 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 | 2012-02-24 |
| 1750532420 | South Suburban Medical Clinic LLC | Internal Medicine | 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 | 2008-09-30 |
| 1669635223 | Frankfort Medical Clinic | Internal Medicine | 3800 W 203rd St, Suite 201, Olympia Fields, IL 60461-1184 | 2008-07-03 |
| 1790976231 | Midwest Physician Group Ltd | Nurse Practitioner | 3800 W 203rd St, Olympia Fields, IL 60461-1184 | 2007-08-08 |
| 1972640654 | Midwest Physician Group Ltd | Internal Medicine | 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 | 2007-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063828481 | St James Hospital and Clinics | General Acute Care Hospital | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2014-07-07 |
| 1437481504 | St James Hospital Us Catholic Conference | General Acute Care Hospital | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2010-02-01 |
| 1487844015 | St James Hospital Us Catholic Conference | General Acute Care Hospital | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2007-07-30 |
| 1588771919 | Franciscan Health Olympia Fields & Chicago Heights | General Acute Care Hospital | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.