Suburban Plastic Surgery Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

036051982 Issued in IL

Legal business name

SUBURBAN PLASTIC SURGERY ASSOCIATES

Practice address

1585 N Barrington Rd
Suite 601
Hoffman Estates, IL 60169

Phone

(847) 755-1000

Fax

(847) 755-1001

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Frank C Madda, MD

Title

President

Phone

(847) 755-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Duckworth, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1417597634
  NPD (past)
• Lillian Grace Lin, PA

  • Surgical Physician Assistant
  • Downers Grove, IL
  • NPI 1841157732

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1497826903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD",
            "address_2": "SUITE 601",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-755-1000",
            "fax_number": "847-755-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD",
            "address_2": "SUITE 601",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-755-1000",
            "fax_number": "847-755-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MADDA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-755-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036051982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Michael Lawrence Stork
• Madelynn Stout, OTR/L
• Christa Straight, CADC
• Suburban Maternal Fetal Medicine
• Suburban Medical Center LLC
• Suburban Podiatry LTD.
• Suburban Speech and Language Therapy, Inc.
• Suburban Surgical Assistants, Inc
• Suburban Surgical Care Center LTD
• Suburban Surgical Care Specialists, S.C.

• Specialist in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.