Organization Active NPI

Sang H Suh, M.D. S.C.

  • Physical Medicine & Rehabilitation Physician
  • Downers Grove, IL
National Provider Identifier
1598857716
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036055218 Issued in IL
Legal business name
SANG H SUH, M.D. S.C.
Practice address
500 Valley View Dr
Downers Grove, IL 60516-3603
Phone
(630) 964-7382
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Sang H Suh, M.D. S.C.
Title
Owner
Phone
(630) 964-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 036055218 IL Primary

Addresses

Primary practice location

500 Valley View Dr
Downers Grove, IL 60516-3603

Mailing address

5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 884-4523

Other identifiers 1

IdentifierTypeStateIssuer
036055218MedicaidIL

National Provider Directory

National Provider Directory

Locations

5501 W 79th St
Ste 4
Burbank, IL 60459

3240 W Franklin Blvd
Chicago, IL 60624
Phone (773) 722-3020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1598857716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "773-884-4523",
            "fax_number": "773-884-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VALLEY VIEW DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163603",
            "telephone_number": "630-964-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG H SUH, M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-964-7382",
        "authorized_official_credential": "M.D. S.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036055218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055218",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.