Active NPI
Suburban Surgical Specialists, S.C.
- Surgery Physician
- Hoffman Estates, IL
National Provider Identifier
1336462746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036098055
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryNPI 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.