Suburban Medical Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036-115260 Issued in IL

Legal business name

SUBURBAN MEDICAL CENTER LLC

Practice address

1555 Barrington Rd BLDG 3
Suite # 2500
Hoffman Estates, IL 60169-1019

Phone

(847) 226-8900

Fax

(224) 330-1665

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ritesh D Patel, M.D

Title

President

Phone

(847) 226-8900

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1164689980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967",
            "telephone_number": "708-532-6029",
            "fax_number": "708-532-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD BLDG 3",
            "address_2": "SUITE # 2500",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-226-8900",
            "fax_number": "224-330-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RITESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-226-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-115260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115260",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "216663",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROVIDER #",
            "identifier": "0001639510",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Stompanato, APN
• Jordan Michael Lawrence Stork
• Madelynn Stout, OTR/L
• Christa Straight, CADC
• Suburban Maternal Fetal Medicine
• Suburban Plastic Surgery Associates
• Suburban Podiatry LTD.
• Suburban Speech and Language Therapy, Inc.
• Suburban Surgical Assistants, Inc
• Suburban Surgical Care Center LTD

• Medical Specialty Clinic/Center in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.