NPIMap

Organization Active NPI

Suburban Orthopaedics LTD

  • Non-Pharmacy Dispensing Site
  • Bartlett, IL
National Provider Identifier
1053702662
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
036064932 Issued in IL
Legal business name
SUBURBAN ORTHOPAEDICS LTD
Practice address
1110 W Schick Rd
Bartlett, IL 60103-3007
Phone
(630) 483-0852
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Edward Ortiz
Title
Practice & Compliance Administrator
Phone
(630) 372-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 036064932 IL Primary

Addresses

Primary practice location

1110 W Schick Rd
Bartlett, IL 60103-3007

Mailing address

1110 W Schick Rd
Bartlett, IL 60103-3007
Phone (630) 483-0852

Other identifiers 2

IdentifierTypeStateIssuer
036064932MedicaidIL
01626816OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Suburban Orthopedics LT7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1110 W Schick Rd
Bartlett, IL 60103
Phone (630) 233-7029

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1053702662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-483-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-483-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ORTHOPAEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRACTICE & COMPLIANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-372-1100"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "036064932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064932",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01626816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.