Organization Active NPI

Suburban Surgical Specialists, S.C.

  • Surgery Physician
  • Hoffman Estates, IL
National Provider Identifier
1336462746
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036098055 Issued in IL
Legal business name
SUBURBAN SURGICAL SPECIALISTS, S.C.
Practice address
1585 Barrington Rd
Suite 501
Hoffman Estates, IL 60169-1090
Phone
(847) 892-0234
Fax
(847) 892-0237
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Eric Turner Vaughn, M.D.
Title
President
Phone
(312) 420-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036098055 IL Primary

Addresses

Primary practice location

1585 Barrington Rd
Suite 501
Hoffman Estates, IL 60169-1090

Mailing address

1585 Barrington Rd
Suite 501
Hoffman Estates, IL 60169-1090
Phone (847) 892-0234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1336462746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 501",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-892-0234",
            "fax_number": "847-892-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 501",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-892-0234",
            "fax_number": "847-892-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SURGICAL SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-420-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036098055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.