Subba Rao MD SC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SUBBA RAO MD SC

Practice address

17850 Kedzie Ave
Suite 3000
Hazel Crest, IL 60429-2058

Phone

(708) 798-7878

Fax

(630) 887-9566

NPI assigned

Jul 28, 2008

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Subba Rao, M.D.NPI 1831186113

Title

President

Phone

(630) 887-7073

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Subba V Rao, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hazel Crest, IL
  • NPI 1831186113
  Authorized official Same address or phone
• Juanito T. Baladad, M.D.

  • Diagnostic Radiology Physician
  • Naperville, IL
  • NPI 1689650087
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1255596318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605220022",
            "telephone_number": "630-887-7073",
            "fax_number": "630-887-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "SUITE 3000",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-798-7878",
            "fax_number": "630-887-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBA RAO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SUBBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-887-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047207",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0021606711",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Suburban Senior Socialites, Inc
• Southwest Eye Center, S.C.
• Olalekan Sowade, M.D.
• Lisa Michelle Steward-Baugh, LSW, QMHP
• Ashlee Stumpf, MA, LPC
• Suburban Wound Care Associates, LLC
• Suhail Health Care Inc
• Christopher J. Sullivan, MD
• Krishna Sunkara, MD
• Sunset of Hazel Crest LLC (Charter Senior Living HC)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.