Individual provider Active NPI

Steven Kenneth Sauerberg, MD

  • Family Medicine Physician
  • La Grange, IL
National Provider Identifier
1265454896
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036059872 Issued in IL
Practice address
5201 S Willow Springs Rd
Suite 300
Lagrange, IL 60525-6537
Phone
(708) 482-8088
Fax
(708) 482-9034
NPI assigned
Jul 24, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036059872 IL Primary

Addresses

Primary practice location

5201 S Willow Springs Rd
Suite 300
Lagrange, IL 60525-6537

Mailing address

5201 S Willow Springs Rd
Suite 300
Lagrange, IL 60525-6537
Phone (708) 482-8088

Other identifiers 1

IdentifierTypeStateIssuer
0360598721MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925000120 IL Practitioner - Internal Medicine 9638134406

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 W 22ND St
Suite 200
Oak Brook, IL 60523-1563

2439 Brunswick Cir Unit a
Woodridge, IL 60517-2055

5201 S Willow Springs Rd
Suite 300
Lagrange, IL 60525-6539

6330 Wesley Rd
Willowbrook, IL 60527-5480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1265454896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "SUITE 300",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-482-8088",
            "fax_number": "708-482-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "SUITE 300",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-482-8088",
            "fax_number": "708-482-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUERBERG",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036059872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360598721",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.