Buffalo Grove Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUFFALO GROVE MEDICAL CENTER

Practice address

333 W Dundee Rd
Buffalo Grove, IL 60089-3545

Phone

(847) 243-0355

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Sergey Shushunov, MD

Title

Physician

Phone

(847) 243-0355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1114487857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO GROVE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "SHUSHUNOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-243-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070073",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl B Bucasas, PT
• Buffalo Grove Chiropractic and Wellness LLC
• Buffalo Grove Chiropractic Center, LTD
• Buffalo Grove Dental Care
• Buffalo Grove Dental PLLC
• Buffalo Grove Orthopaedic Associates SC
• Buffalo Grove Physical Therapy and Sports Rehabilitation PC
• Buffalo Grove Skilled Nursing Facility LLC
• Sierra Bugno
• Quyen Thi Bui, PA-C

• Family Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 20, 2019; 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.