Suburban Rehabilitation Specialists LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

036093275 Issued in IL

Legal business name

SUBURBAN REHABILITATION SPECIALISTS LLC

Practice address

3217 Venard Rd
Downers Grove, IL 60515-1108

Phone

(815) 741-2201

Fax

(888) 741-7648

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Yeun Kim

Title

Billing Manager

Phone

(815) 348-5614

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Ming Long Hung, MD

  • Physical Medicine & Rehabilitation Physician
  • Downers Grove, IL
  • NPI 1194730267
  Medicare reassignment NPD

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1659886513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 VENARD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151108",
            "telephone_number": "815-348-5614",
            "fax_number": "888-741-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 VENARD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151108",
            "telephone_number": "815-741-2201",
            "fax_number": "888-741-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN REHABILITATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YEUN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "815-348-5614"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036093275",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "036093275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shu-Han Su, LPC
• Subh Care Services Limited
• Gessa Suboc
• Suburban Center of Allergy LTD
• Suburban Home Care
• Melissa A Suckow, O.D.
• Sang H Suh, M.D.
• Soyoung Suh, PH.D
• Joseph T Sullivan, DDS
• Michael John Sullivan

• Rehabilitation Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.