Mohamad Sughayer, TECHNICAL DIRECTORBA

Primary specialty

BiochemistTaxonomy code 246ZB0500X

Practice address

4142 167TH St Ste 6
Oak Forest, IL 60452-3345

Phone

(708) 904-2424

NPI assigned

Jan 22, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1003568882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18013 ALICE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678433",
            "telephone_number": "708-904-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 167TH ST STE 6",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523345",
            "telephone_number": "708-904-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGHAYER",
        "first_name": "MOHAMAD",
        "credential": "TECHNICAL DIRECTORBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZB0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Biochemist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14D2249312",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "4142 167th St Ste 6",
            "city": "Oak Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604523345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Kathleen Stanoch, LCPC
• Susan K Steephen, PHARMD
• Gregory Nelson Stern, D.D.S.
• Diane Kay Stewart
• Suburban Internists LLC
• Katarina Surjancev, DMD
• Ausra Maria Sutkus, OTR,L
• Sweet Homes Healthcare LLC
• Sweet Homes Transportation
• Jessica Szkarlat, PHARMD

• Other Specialist/Technologist in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Other Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.