Allan B Sutow, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3648363 Issued in IL

Practice address

5747 W Dempster
Suite 400
Morton Grove, IL 60053-3056

Phone

(847) 663-9820

Fax

(847) 663-9813

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568597441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 W DEMPSTER",
            "address_2": "SUITE #400",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533056",
            "telephone_number": "847-663-9820",
            "fax_number": "847-663-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 W DEMPSTER",
            "address_2": "SUITE 400",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533056",
            "telephone_number": "847-663-9820",
            "fax_number": "847-663-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTOW",
        "first_name": "ALLAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3648363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.