Ine Suh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035221 Issued in IL

Practice address

10020 Grand Ave
Franklin Park, IL 60131-2547

Phone

(847) 455-8383

NPI assigned

Jun 29, 2024

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Dental Associates P.C.

  dba Grand Dental

  • General Practice Dentistry
  • Franklin Park, IL
  • NPI 1639203912
  NPD (past)

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1003651159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 N ARTESIAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455974",
            "telephone_number": "773-964-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312547",
            "telephone_number": "847-455-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "INE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Molecular Corporation (Sterling Genomic, Molecular & Clinical Diagnostics)
• Vera Stewart, QMHP
• Greg Enrique Suarez
• Subarna P Pradhan M D S C
• Suburban X-Ray, LTD
• Lydia E Sydor, LCSW
• Wanda Szacilowski, PT
• Dawid Szkutnik
• Marcia Tenezaca, LNP
• Silas Tyrone Thomas, MSW

• General Practice Dentistry in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.