South Suburban Cardiology Associates, LTD.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTH SUBURBAN CARDIOLOGY ASSOCIATES, LTD.

Practice address

20303 S Crawford Ave
Suite 120
Olympia Fields, IL 60461-1176

Phone

(708) 481-5500

Fax

(708) 481-8381

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cherdkiat Sangkam, M.D.

Title

President

Phone

(708) 748-9952

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1124399605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST",
            "address_2": "SUITE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611184",
            "telephone_number": "708-748-9952",
            "fax_number": "708-748-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 S CRAWFORD AVE",
            "address_2": "SUITE 120",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611176",
            "telephone_number": "708-481-5500",
            "fax_number": "708-481-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN CARDIOLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "SANGKAM",
        "authorized_official_first_name": "CHERDKIAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-748-9952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1124399605",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1124399605",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakette Smith
• Robin Dale Snead, M.D.
• Georgia Soltau, LCPC
• Samiratou Soudre, APRN
• South Suburban Arthritis Group SC
• South Suburban Medical Clinic LLC
• Southland Bone & Joint Institute, S.C.
• Southland Eye Associates PC
• Southland Orthopaedics LTD
• Southwest Anesthesia Consultants, LLC

• Cardiovascular Disease Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.