SUBURBAN MEDICAL GROUP, LLC (NPI# 1518380633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518380633 |
| Entity Type | Organization |
| Organization Name | SUBURBAN MEDICAL GROUP, LLC |
| Practice Address |
1600 Dempster St Suite 103 Park Ridge IL 60068-1109 |
| Practice Telephone | 8472969040 |
| Practice Fax Number | 8472969050 |
| Mailing Telephone | 8472969040 |
| Mailing Fax Number | 8472969050 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | MR. PRITESH PATEL (OWNER) |
| Authorized Official Telephone | 8472969040 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 056.006288 | IL | Other Service Providers |
| Street Address |
1600 DEMPSTER ST SUITE 103 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801897434 | Lake Cook Surgical Associates PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1109 | 2005-08-04 |
| 1801331178 | Premier Rehab Services LLC | Physical Therapist | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1109 | 2016-12-22 |
| 1215121066 | Jadav M Moradia | Internal Medicine | 1600 Dempster St, Suite 207, Park Ridge, IL 60068-1109 | 2007-09-04 |
| 1780803114 | Stanley Joseph | Dentist | 1600 Dempster St, Suite #201, Park Ridge, IL 60068-1109 | 2007-04-24 |
| 1578787537 | David P. Calimag Md Sc | Psychiatry & Neurology | 1600 Dempster St, Suite Ll3, Park Ridge, IL 60068-1109 | 2007-04-12 |
| 1447383344 | John A. D'anca | Counselor | 1600 Dempster St, Suite 216, Park Ridge, IL 60068-1109 | 2007-03-13 |
| 1366598419 | Pritesh J Patel | Occupational Therapist | 1600 Dempster St, Suite 102, Park Ridge, IL 60068-1109 | 2007-01-25 |
| 1720144322 | George J Futris | Dentist | 1600 Dempster St, Suite 202, Park Ridge, IL 60068-1109 | 2006-12-28 |
| 1245391127 | Emelita Marguez Wong | Dentist | 1600 Dempster St, Suite 101, Park Ridge, IL 60068 | 2006-12-13 |
| 1114024163 | Ismilecare,p.c. | Dentist | 1600 Dempster St, Suite Ll1, Park Ridge, IL 60068-1109 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073859088 | Ruby Idnani | Specialist | 49 Oak Ave, Park Ridge, NJ 07656-1311 | 2012-12-19 |
| 1821342312 | Iwellmax, LLC | Specialist | 1300 Higgins Rd Ste 200, Park Ridge, IL 60068-5766 | 2012-11-05 |
| 1205076874 | Jeanne T De Lisle | Specialist | 718 N Greenwood Ave, Park Ridge, IL 60068-2508 | 2009-02-23 |
| 1154578037 | John Emil Meyenberg | Specialist | 432 Elmore St, Park Ridge, IL 60068-3437 | 2008-08-22 |
| 1487872115 | Thomas L.c. Cottrell Jr, M.d., Ltd. | Specialist | 2 W Talcott Rd Ste 11, Park Ridge, IL 60068-5500 | 2007-04-20 |
| 1942228978 | Therese Hanigan | Specialist | 2601 Dempster St, Park Ridge, IL 60068-1155 | 2006-07-17 |
| 1518929728 | Syed Hussaini | Specialist | 235 Homestead Pl, Park Ridge Geriatrics, Park Ridge, NJ 07656-2438 | 2006-04-04 |
| 1306175005 | Morris Mauer Md Sc | Specialist | 1600 W Dempster St, Suite 120, Park Ridge, IL 60068-1109 | 2009-12-09 |
| 1962674515 | Focus On Womens Health | Specialist | 1875 Dempster St, Suite 635, Park Ridge, IL 60068-1186 | 2008-03-24 |
| 1972793164 | Ep Consultation Ltd | Specialist | 1775 Dempster St, Park Ridge, IL 60068-1143 | 2007-07-25 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.