Suburban Internal Medicine SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUBURBAN INTERNAL MEDICINE SC

Practice address

550 N Lake St
Mundelein, IL 60060-1827

Phone

(847) 566-5200

Fax

(847) 566-5522

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce David Hyman, M.D.

Title

Owner

Phone

(847) 566-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639276793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601827",
            "telephone_number": "847-566-5200",
            "fax_number": "847-566-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601827",
            "telephone_number": "847-566-5200",
            "fax_number": "847-566-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN INTERNAL MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-566-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela St. Cyr
• Magdalena Emilia Stanek, DDS
• Gerald Vincent Stanton, M.D.
• Edward Paul Stith, MSW LCSW ACSW TYPE 7
• Byron Strakusek, RPH.
• Suburban Medical Associates, S.C.
• John S Sullivan, DDS
• Kelly Sviatko, IBCLC
• Zubin S Tantra, PT, FAAOMPT
• Jose Luis Tapia Jr., DMD, BDS

• Internal Medicine Physician in Mundelein, IL
• Providers in Mundelein, 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 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.

Verify at the official NPI Registry.