South Suburban Arthritis Group SC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036063879 Issued in IL

Legal business name

SOUTH SUBURBAN ARTHRITIS GROUP SC

Practice address

2555 W. Lincoln Hwy
Suite 200
Olympia Fields, IL 60461-1936

Phone

(708) 481-4900

Fax

(708) 481-9440

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Corby Burkmier

Title

Office Manager

Phone

(708) 481-4900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1164469573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 W. LINCOLN HWY",
            "address_2": "SUITE 200",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611936",
            "telephone_number": "708-481-4900",
            "fax_number": "708-481-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W. LINCOLN HWY",
            "address_2": "SUITE 200",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611936",
            "telephone_number": "708-481-4900",
            "fax_number": "708-481-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN ARTHRITIS GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "BURKMIER",
        "authorized_official_first_name": "CORBY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-481-4900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036063879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF9106",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "01622409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shani Kamaria Smith, D.O., M.B.A.
• Zakette Smith
• Robin Dale Snead, M.D.
• Georgia Soltau, LCPC
• Samiratou Soudre, APRN
• South Suburban Cardiology Associates, LTD.
• South Suburban Medical Clinic LLC
• Southland Bone & Joint Institute, S.C.
• Southland Eye Associates PC
• Southland Orthopaedics LTD

• Rheumatology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.