Organization Active NPI

Suburban Orthopaedics LTD

  • Orthopaedic Surgery Physician
  • Bartlett, IL
National Provider Identifier
1275749475
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036064932 Issued in IL
Legal business name
SUBURBAN ORTHOPAEDICS LTD
Doing business as
Suburban Orthopaedics Ltd
Practice address
1110 W Schick Rd
Bartlett, IL 60103
Phone
(630) 233-7029
Fax
(630) 483-0852
NPI assigned
May 15, 2007
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Tim Long
Title
Cfo
Phone
(630) 372-1100

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038007742 IL
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 036064932 IL Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 036097451 IL
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 070012618 IL
Physical Therapist 225100000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 085001660 IL

Addresses

Primary practice location

1110 W Schick Rd
Bartlett, IL 60103

Mailing address

1110 W Schick Rd
Bartlett, IL 60103
Phone (630) 233-7029

Other identifiers 2

IdentifierTypeStateIssuer
01626816OtherILBLUE CROSS BLUE SHIELD
036064932MedicaidIL

Other names 1

  • Suburban Orthopaedics Ltd Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050914000673 IL Part B Supplier - Clinic/Group Practice 7113950700 Receives reassigned benefits from 22 practitioners
Practice locations: Bartlett, IL; Chicago, IL; Elgin, IL; Elk Grove Village, IL; Hoffman Estates, IL; Oakbrook Terrace, IL; Schaumburg, IL
O20100930059091 IL DME Supplier - Physician - General Surgery 7113950700 Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

1110 W Schick Rd
Ste 565
Bartlett, IL 60103

1112 W Schick Rd
Bartlett, IL 60103

1114 W Schick Rd
Bartlett, IL 60103

1691 S State Route 59
Bartlett, IL 60103
Phone (630) 372-2883

1240 Il Route 83
Bensenville, IL 60106
Phone (224) 414-1390

1229 W Randolph St
Chicago, IL 60607
Phone (630) 233-7029

2118 S Michigan Ave
Chicago, IL 60616

1600 N Randall Rd
Ste 100
Elgin, IL 60123

1600 N Randall Rd
Ste 110
Elgin, IL 60123
Phone (630) 349-4199

1600 N Randall Rd
Ste 210
Elgin, IL 60123

1101 Perimeter Dr
Schaumburg, IL 60173
Phone (614) 888-4162

1101 Perimeter Dr
Ste 100
Schaumburg, IL 60173

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1275749475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-233-7029",
            "fax_number": "630-483-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-233-7029",
            "fax_number": "630-483-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ORTHOPAEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-372-1100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007742",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036064932",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036097451",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070012618",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01626816",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Orthopaedics Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.