NPIMap

Organization Active NPI

Suburban Orthopaedics

  • Orthopaedic Surgery Physician
  • Elgin, IL
National Provider Identifier
1508288549
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036064932 Issued in IL
Legal business name
SUBURBAN ORTHOPAEDICS
Practice address
1600 N Randall Rd
Elgin, IL 60123-7803
Phone
(630) 233-7029
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Edward Ortiz
Title
Practice & Compliance Administrator
Phone
(630) 372-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 036064932 IL Primary

Addresses

Primary practice location

1600 N Randall Rd
Elgin, IL 60123-7803

Mailing address

1110 West Schick Rd
Bartlett, IL 60103-0000
Phone (630) 233-7029

Other names 1

  • Suburban Orthopaedics Ltd Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suburban Orthopedics LT7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1508288549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WEST SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601030000",
            "telephone_number": "630-233-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237803",
            "telephone_number": "630-233-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRACTICE & COMPLIANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-372-1100"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036064932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Orthopaedics Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.