Active NPI
Virginia L Suffi, CST,CSFA
- Other Specialist/Technologist
- Streamwood, IL
National Provider Identifier
1639435647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 125253
- Practice address
- 808 Surrey Dr
Streamwood, IL 60107-2133 - Phone
- (630) 940-7510
- Fax
- (630) 289-8646
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 125253 | IL | Primary |
Addresses
Primary practice location
808 Surrey Dr
Streamwood, IL 60107-2133
Mailing address
808 Surrey Dr
Streamwood, IL 60107-2133
Phone (630) 940-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125253 | IL | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1639435647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 SURREY DR",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601072133",
"telephone_number": "630-940-7510",
"fax_number": "630-289-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 SURREY DR",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601072133",
"telephone_number": "630-940-7510",
"fax_number": "630-289-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFI",
"first_name": "VIRGINIA",
"middle_name": "L",
"credential": "CST,CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "IL",
"license": "125253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.