South Suburban Multi Specialty Group LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH SUBURBAN MULTI SPECIALTY GROUP LTD

Practice address

6300 159TH St Ste C
Oak Forest, IL 60452-2779

Phone

(708) 535-3300

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Hanan H Yousif

Title

President

Phone

(708) 535-3300

Specialties & licenses 1

Addresses

Other names 1

• SOUTH SUBRBAN MULTI SPECIALTY GROUP LTD Doing business as

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1154095800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10749 CHERRYWOOD DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643701",
            "telephone_number": "708-535-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 159TH ST STE C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522779",
            "telephone_number": "708-535-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Southwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604533724",
            "country_code": "US",
            "telephone_number": "708-576-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH SUBURBAN MULTI SPECIALTY GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "HANAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-535-3300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SUBRBAN MULTI SPECIALTY GROUP LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oyeyemi Anthony Shodiya
• Kareema Siddiqui
• Erica Sidenstick, LSW, CADC
• Ranjit Sigamony, M.D
• Vladislav Souboch, OD
• South Suburban Obstetrics &
• Southwest Cook County Cooperative Assn for Special Education
• Christopher Ryan Speaker, APN, FNP-BC
• Christine Kathleen Stanoch, LCPC
• Susan K Steephen, PHARMD

• Internal Medicine Physician in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.