Organization Active NPI

Suburban Neonatal, LTD

  • Neonatal-Perinatal Medicine Physician
  • Libertyville, IL
National Provider Identifier
1376656835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
SUBURBAN NEONATAL, LTD
Practice address
900 Garfield Ave
Libertyville, IL 60048-3141
Phone
(773) 537-0020
Fax
(773) 537-0030
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Syd Foreman, D.O.NPI 1700999364
Title
President
Phone
(773) 537-0020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X IL Primary

Addresses

Primary practice location

900 Garfield Ave
Libertyville, IL 60048-3141

Mailing address

PO Box 2475
Northbrook, IL 60065-2475
Phone (773) 537-0020

National Provider Directory

National Provider Directory

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376656835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600652475",
            "telephone_number": "773-537-0020",
            "fax_number": "773-537-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GARFIELD AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483141",
            "telephone_number": "773-537-0020",
            "fax_number": "773-537-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN NEONATAL, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "SYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-537-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.