Organization Active NPI

Suburban Infectious Disease LLC

  • Infectious Disease Physician
  • Frankfort, IL
National Provider Identifier
1114357845
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036105849 Issued in IL
Legal business name
SUBURBAN INFECTIOUS DISEASE LLC
Practice address
580 Bankview Dr
Frankfort, IL 60423-1382
Phone
(708) 704-6787
Fax
(708) 827-0400
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Shahnaz AzadNPI 1922062694
Title
MD Owner
Phone
(708) 704-6787

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 036105849 IL Primary

Addresses

Primary practice location

580 Bankview Dr
Frankfort, IL 60423-1382

Mailing address

PO Box 735548
Chicago, IL 60673-5548
Phone (708) 704-6787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140213001348 IL Part B Supplier - Clinic/Group Practice 0345479358 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia Fields, IL

National Provider Directory

National Provider Directory

Locations

580 Bankview Dr
Frankfort, IL 60423
Phone (708) 475-5633

3800 W 203rd St
Ste 201
Olympia Flds, IL 60461

Practitioners & affiliated clinicians

Practitioners 1

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1114357845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735548",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735548",
            "telephone_number": "708-704-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BANKVIEW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231382",
            "telephone_number": "708-704-6787",
            "fax_number": "708-827-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN INFECTIOUS DISEASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "708-704-6787"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036105849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.