Active NPI
Suburban Plastic Surgery, S.C.
- Plastic Surgery Physician
- Oak Lawn, IL
National Provider Identifier
1225251424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SUBURBAN PLASTIC SURGERY, S.C.
- Practice address
- 5346 W 95TH St
Oak Lawn, IL 60453-2452 - Phone
- (708) 636-8222
- Fax
- (708) 636-9798
- NPI assigned
- Apr 10, 2007
- Last updated
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramasamy Kalimuthu, M.D.
- Title
- President
- Phone
- (708) 636-8222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary | ||
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | |||
| Surgery of the Hand (Surgery) Physician | 2086S0105X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X |
Addresses
Primary practice location
5346 W 95TH St
Oak Lawn, IL 60453-2452
Mailing address
5346 W 95TH St
Oak Lawn, IL 60453-2452
Phone (708) 636-8222
National Provider Directory
National Provider DirectoryLocations
5346 W 95th St
Oak Lawn, IL 60453
Phone (312) 636-8222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Oak Lawn, IL
- NPI 1366448128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1225251424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532452",
"telephone_number": "708-636-8222",
"fax_number": "708-636-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532452",
"telephone_number": "708-636-8222",
"fax_number": "708-636-9798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN PLASTIC SURGERY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "KALIMUTHU",
"authorized_official_first_name": "RAMASAMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-636-8222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.