Active NPI
Suburban Pediatric Therapies
- Occupational Medicine Clinic/Center
- Aurora, IL
National Provider Identifier
1518006972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- SUBURBAN PEDIATRIC THERAPIES
- Practice address
- 3965 75TH St
Suite 104
Aurora, IL 60504-7913 - Phone
- (630) 236-7000
- Fax
- (630) 236-7800
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karin E Sudlow
- Title
- Speech Language Pathologist
- Phone
- (630) 236-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | IL | Primary |
Addresses
Primary practice location
3965 75TH St
Suite 104
Aurora, IL 60504-7913
Mailing address
3965 75TH St
Suite 104
Aurora, IL 60504-7913
Phone (630) 236-7000
National Provider Directory
National Provider Directory- Tax ID family
- Suburban Pediatric Therapies
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Aurora, IL
- NPI 1467525832
-
- Physical Therapist
- Aurora, IL
- NPI 1831236579
Locations
3965 75th St
Ste 104
Aurora, IL 60504
Phone (630) 236-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1518006972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 75TH ST",
"address_2": "SUITE 104",
"city": "AURORA",
"state": "IL",
"postal_code": "605047913",
"telephone_number": "630-236-7000",
"fax_number": "630-236-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 75TH ST",
"address_2": "SUITE 104",
"city": "AURORA",
"state": "IL",
"postal_code": "605047913",
"telephone_number": "630-236-7000",
"fax_number": "630-236-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBURBAN PEDIATRIC THERAPIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUDLOW",
"authorized_official_first_name": "KARIN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "630-236-7000"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, 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.