Organization Active NPI

Suburban Neurology

  • Neurology Physician
  • Lombard, IL
National Provider Identifier
1043046949
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUBURBAN NEUROLOGY
Practice address
555 E Butterfield Rd Ste 205
Lombard, IL 60148-5612
Phone
(630) 299-4342
Fax
(630) 405-5857
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Subhasree Misra, MDNPI 1326092362
Title
Owner
Phone
(708) 646-8352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

555 E Butterfield Rd Ste 205
Lombard, IL 60148-5612

Mailing address

555 E Butterfield Rd Ste 205
Lombard, IL 60148-5612
Phone (630) 299-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008001301 IL Part B Supplier - Clinic/Group Practice 9234660762 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomingdale, IL; Lombard, IL

National Provider Directory

National Provider Directory

Locations

11 Douglas Ave
Ste 253
Elgin, IL 60120
Phone (312) 767-8175

555 E Butterfield Rd
Lombard, IL 60148

555 E Butterfield Rd
Ste 205
Lombard, IL 60148
Phone (630) 299-4342

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1043046949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E BUTTERFIELD RD STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485612",
            "telephone_number": "630-299-4342",
            "fax_number": "630-405-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BUTTERFIELD RD STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485612",
            "telephone_number": "630-299-4342",
            "fax_number": "630-405-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "SUBHASREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-646-8352",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.