Organization Active NPI

Suburban Gastroenterology LTD

  • Legal Medicine
  • Naperville, IL
National Provider Identifier
1114954633
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
SUBURBAN GASTROENTEROLOGY LTD
Practice address
1243 Rickert Dr
Naperville, IL 60540-0954
Phone
(630) 527-6450
Fax
(630) 527-6456
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Amy Inez Cramer
Title
Office Manager
Phone
(630) 527-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

1243 Rickert Dr
Naperville, IL 60540-0954

Mailing address

1243 Rickert Dr
Naperville, IL 60540-0954
Phone (630) 527-6450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000348 IL Part B Supplier - Clinic/Group Practice 8628047735 Receives reassigned benefits from 23 practitioners
Practice locations: Sandwich, IL; Plainfield, IL; Naperville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2042925Suburban Gastroenterology LTD1243 Rickert Dr - Histology, Naperville, IL 60540AccreditationAug 13, 2027

National Provider Directory

National Provider Directory

Locations

39273 Treasury Ctr
Chicago, IL 60694

640 S Washington St
Ste 240
Naperville, IL 60540
Phone (630) 355-3668

1 E County Line Rd
Ste B
Sandwich, IL 60548
Phone (630) 527-6450

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1114954633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN GASTROENTEROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-527-6450"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.