Suburban General Surgery LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUBURBAN GENERAL SURGERY LTD

Practice address

4700 W 95TH St
Ste 308
Oak Lawn, IL 60453

Phone

(708) 425-6370

Fax

(708) 425-6416

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Gerald Kampin, MD

Title

President

Phone

(708) 425-6370

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1003977901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "STE 308",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-6370",
            "fax_number": "708-425-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST",
            "address_2": "STE 308",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-425-6370",
            "fax_number": "708-425-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN GENERAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "KAMPIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-6370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617379",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda A Stump, CPNP
• Robin Stupay, PHARMD
• Portia Nicole Sturdivant
• Joanna Sturnieks
• Olivia Victoria Suarez
• Suburban Plastic Surgery, S.C.
• Sudhir M Gokhale MD SC
• Anthony L Sukalo, PHARM D
• Nicholas Sukalski
• Henry James Sullivan, M.D.

• Surgery Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.