Surgical Consultants of Dupage

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036095786 Issued in IL

Legal business name

SURGICAL CONSULTANTS OF DUPAGE

Practice address

908 N Elm St
Suite 310
Hinsdale, IL 60521-3635

Phone

(630) 325-3310

Fax

(630) 325-9163

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Douglas, M.D.

Title

Managing Partner

Phone

(630) 325-3310

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1346396728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 310",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-325-3310",
            "fax_number": "630-325-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 310",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-325-3310",
            "fax_number": "630-325-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS OF DUPAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "630-325-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036095786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUM",
            "identifier": "0002220321",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD5773",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suburban Surgical Associates, LTD
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• Thomas D Sullivan, M.D.
• Superior Neurology and Emg, PLLC
• Surgical Sleep Specialist, Inc
• Daesman Suri, MD
• Deepti Singh Suri, LMT, AD (NAMA)
• Zachary Swartz
• Colleen Iversen Sweeney

• Surgery Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.