Suzy Azalea DMD LDT

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SUZY AZALEA DMD LDT

Practice address

761 E Boughton Rd
Bolingbrook, IL 60440

Phone

(630) 739-9430

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Suzy Azalea, DMD

Title

Dentist

Phone

(630) 739-9430

Specialties & licenses 1

Addresses

Other names 1

• Lily Cache Dental Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184780876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-739-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-739-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZY AZALEA DMD LDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZALEA",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-739-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily Cache Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arjinna Supaperm, PHARMD
• Kelly Supataraporn
• Srinivas Rao Surabhi, M.D.
• Jennifer Surges
• Surgical Specialty Partners, LTD.
• Suzy Azlea DMD LTD
• Amy Swain, DPT
• Jamita Swearengen
• Adam J Swiatek, PT, DPT, CSCS
• Mark L Switzer, M.D.

• Dentist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.