Suzy Azlea DMD LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUZY AZLEA DMD LTD

Practice address

761 E Boughton Rd
Bolingbrook, IL 60440-2281

Phone

(630) 739-9430

Fax

(630) 739-9427

NPI assigned

Jan 5, 2009

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Jill Hernadez

Title

Officee Manager

Phone

(630) 739-9430

Specialties & licenses 1

Addresses

Other names 1

• Lily cache Dental Doing business as

Part of

Suzy Azlea DMD LTD

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1053557512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402281",
            "telephone_number": "630-739-9430",
            "fax_number": "630-739-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402281",
            "telephone_number": "630-739-9430",
            "fax_number": "630-739-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZY AZLEA DMD LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "HERNADEZ",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICEE MANAGER",
        "authorized_official_telephone_number": "630-739-9430"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily cache Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Supataraporn
• Srinivas Rao Surabhi, M.D.
• Jennifer Surges
• Surgical Specialty Partners, LTD.
• Suzy Azalea DMD LDT
• Amy Swain, DPT
• Jamita Swearengen
• Adam J Swiatek, PT, DPT, CSCS
• Mark L Switzer, M.D.
• Syed Shahabuddin DDS, PLLC

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, 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 Jan 5, 2009; 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.