Suburban Medical Center, S.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036056234 Issued in IL

Legal business name

SUBURBAN MEDICAL CENTER, S.C

Doing business as

SUBURBAN MEDICAL CENTER, S.C

Practice address

380 E Northwest Hwy Ste 200
Des Plaines, IL 60016-2274

Phone

(847) 382-6870

Fax

(847) 382-6083

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Ritesh Patel, MD

Title

Owner

Phone

(847) 995-9500

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• SUBURBAN MEDICAL CENTER, S.C Doing business as

Locations

Practitioners 2

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

• Deepak Sharma, APRN

  • Family Nurse Practitioner
  • Sycamore, IL
  • NPI 1053956292
  NPD (past)
• Indu Singha, OTR

  • Occupational Therapist
  • Bartlett, IL
  • NPI 1275718785
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1063695682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARMY TRAIL RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601338974",
            "telephone_number": "847-995-9500",
            "fax_number": "847-995-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY STE 200",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162274",
            "telephone_number": "847-382-6870",
            "fax_number": "847-382-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL CENTER, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-995-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036056234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE PHO",
            "identifier": "40734",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "212292",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056234",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4900938",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBURBAN MEDICAL CENTER, S.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mani N Subramanian, M.D.
• Susila Subramanian, M.D.
• Suburban Eye Consultants S.C.
• Suburban Eye Consultants S.C.
• Suburban Family Dental
• Suburban Orthotics & Prosthetics, Inc.
• Etan P Sugarman, M.D.
• Suh Chiropractic & Well-Being Clinic
• Karen Suleiman
• Beth A Sum, MD

• Family Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.