South Suburban Family Health, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-103250 Issued in IL

Legal business name

SOUTH SUBURBAN FAMILY HEALTH, SC

Practice address

1028 E Steger Rd
Crete, IL 60417-1362

Phone

(708) 955-8196

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tonja Raquel Austin, M.D.

Title

President

Phone

(708) 955-8196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1093956922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E STEGER RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171362",
            "telephone_number": "708-955-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E STEGER RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171362",
            "telephone_number": "708-955-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN FAMILY HEALTH, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-955-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-103250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Seretis, LPC
• Breonna Simmons, MSW, LSW
• Juanita Louise Smith
• Kayla A Smith
• Claudia Solis, LSW
• Spectrum of Colors Pediatric Therapy LLC
• St James Wellness Rehab and Villas LLC
• St Margaret Mercy Healthcare Centers, Inc.
• Steger Estates Volunteer Fire Department
• Deborah Stryjewski

• Family Medicine Physician in Crete, IL
• Providers in Crete, 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 Mar 24, 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.