Organization Active NPI

Suburban Cardiologists, S.C.

  • Specialist
  • La Grange, IL
National Provider Identifier
1285785238
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042003338 Issued in IL
Legal business name
SUBURBAN CARDIOLOGISTS, S.C.
Practice address
5101 S Willow Spring Road
Suite 160
La Grange, IL 60525
Phone
(630) 325-9010
Fax
(630) 325-9023
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Alan L Miller, M.D.
Title
President
Phone
(630) 325-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 042003338 IL Primary

Addresses

Primary practice location

5101 S Willow Spring Road
Suite 160
La Grange, IL 60525

Mailing address

333 Chestnut St
Suite 101
Hinsdale, IL 60521-3247
Phone (630) 325-9010

National Provider Directory

National Provider Directory

Locations

420 Medical Center Dr
Ste 210
Bolingbrook, IL 60440
Phone (630) 226-1800

5101 Willow Springs Rd
Ste 160
La Grange, IL 60525
Phone (630) 325-9010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1285785238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CHESTNUT ST",
            "address_2": "SUITE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213247",
            "telephone_number": "630-325-9010",
            "fax_number": "630-325-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 S WILLOW SPRING ROAD",
            "address_2": "SUITE 160",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "630-325-9010",
            "fax_number": "630-325-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CARDIOLOGISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-325-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042003338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.