Organization Active NPI

Suburban Internists LLC

  • Primary Care Clinic/Center
  • Oak Forest, IL
National Provider Identifier
1417383027
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036131617 Issued in IL
Legal business name
SUBURBAN INTERNISTS LLC
Practice address
6300 159TH St Ste C
Oak Forest, IL 60452-2779
Phone
(708) 535-3300
NPI assigned
Sep 16, 2013
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Navneesh Sharma, MD
Title
Physician/ Owner
Phone
(515) 554-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036131617 IL Primary

Addresses

Primary practice location

6300 159TH St Ste C
Oak Forest, IL 60452-2779

Mailing address

6300 159TH St Ste C
Oak Forest, IL 60452-2779
Phone (708) 535-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1417383027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 159TH ST STE C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522779",
            "telephone_number": "708-535-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 159TH ST STE C",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522779",
            "telephone_number": "708-535-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN INTERNISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "NAVNEESH",
        "authorized_official_title_or_position": "PHYSICIAN/  OWNER",
        "authorized_official_telephone_number": "515-554-2633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036131617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.