Organization Active NPI

Suburban Surgical Services

  • Medical Specialty Clinic/Center
  • Lake Zurich, IL
National Provider Identifier
1447335948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D6144-486-6 Issued in IL
Legal business name
SUBURBAN SURGICAL SERVICES
Practice address
900 W. Route 22
Suite 120a
Lake Zurich, IL 60047-3416
Phone
(847) 550-0040
Fax
(847) 550-0022
NPI assigned
Oct 25, 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
Mr. Salvador Yunez, M.D.
Title
Owner & Ceo
Phone
(847) 550-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D6144-486-6 IL Primary

Addresses

Primary practice location

900 W. Route 22
Suite 120a
Lake Zurich, IL 60047-3416

Mailing address

900 W. Route 22
Suite 120a
Lake Zurich, IL 60047-3416
Phone (847) 550-0040

Other identifiers 1

IdentifierTypeStateIssuer
D6144-486-6OtherILCORP #

National Provider Directory

National Provider Directory
Tax ID family
North Shore Ambulatory Sergical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 W State Route 22
Ste 120A
Lake Zurich, IL 60047
Phone (847) 550-0040

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447335948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W. ROUTE 22",
            "address_2": "SUITE 120A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473416",
            "telephone_number": "847-550-0040",
            "fax_number": "847-550-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W. ROUTE 22",
            "address_2": "SUITE 120A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473416",
            "telephone_number": "847-550-0040",
            "fax_number": "847-550-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUNEZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "847-550-0040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "D6144-486-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP #",
            "identifier": "D6144-486-6",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, 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.