NPIMap

Organization Active NPI

Suburban Radiologists, S.C.

  • Diagnostic Radiology Physician
  • La Grange, IL
National Provider Identifier
1386665396
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUBURBAN RADIOLOGISTS, S.C.
Practice address
5101 S. Willow Springs Rd
Lagrange, IL 60525-2600
Phone
(630) 581-6504
NPI assigned
Jul 22, 2006
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Dr. Scott Kwan Lee, MDNPI 1679596241
Title
President
Phone
(630) 581-6504

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

5101 S. Willow Springs Rd
Lagrange, IL 60525-2600

Mailing address

1446 Momentum Place
Chicago, IL 60689-5314
Phone (630) 581-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040921000216 IL Part B Supplier - Clinic/Group Practice 0648248328 Receives reassigned benefits from 24 practitioners
Practice locations: Bolingbrook, IL; Chicago, IL; Countryside, IL; Glendale Heights, IL; Hinsdale, IL; La Grange, IL; Plainfield, IL; Westmont, IL

National Provider Directory

National Provider Directory

Locations

1446 Momentum Pl
Chicago, IL 60689

1415 W 55th St
Ste 104
Countryside, IL 60525
Phone (630) 697-7745

6170 Joliet Rd
Countryside, IL 60525
Phone (708) 352-0330

15720 S Route 59
Plainfield, IL 60544
Phone (630) 312-3301

15722 S Route 59
#138
Plainfield, IL 60544
Phone 8154368831201

3075 Wolf Rd
Westchester, IL 60154
Phone (708) 223-8011

545 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 269-2886

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1386665396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 MOMENTUM PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895314",
            "telephone_number": "630-581-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 S. WILLOW SPRINGS RD",
            "city": "LAGRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "630-581-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN RADIOLOGISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-581-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.