North Suburban Surgical Consultants, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036077206 Issued in IL

Legal business name

NORTH SUBURBAN SURGICAL CONSULTANTS, LLC

Practice address

7900 N Milwaukee Ave
Suite 222
Niles, IL 60714-3159

Phone

(847) 967-9430

Fax

(847) 967-9218

NPI assigned

Mar 27, 2007

Last updated

Jan 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Sulkowski, MDNPI 1124007422

Title

President

Phone

(847) 967-9430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert J Sulkowski, MD

  • Surgery Physician
  • Niles, IL
  • NPI 1124007422
  Authorized official Same address or phone

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1679691547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 222",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-967-9430",
            "fax_number": "847-967-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 222",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-967-9430",
            "fax_number": "847-967-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN SURGICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SULKOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-967-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036077206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Branch Dermatology LLC
• North Shore Cosmetic Surgery & Wellness Center LTD
• North Shore Physical Medicine
• North Suburban Hearing Service Inc
• North Suburban Physicians Group, LTD
• Northshore Medical Practice LTD
• Northside Health, LLC
• Northwest Infectious Disease Consultants, S.C.
• Northwest Metropolitan Urology Associates, S.C.
• Northwest Podiatry Center

• Surgery Physician in Niles, IL
• Providers in Niles, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.