Suburban Medical Associates, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUBURBAN MEDICAL ASSOCIATES, S.C.

Practice address

560 N Midlothian Rd
Suite 400
Mundelein, IL 60060-1654

Phone

(847) 837-8442

Fax

(847) 837-8542

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Susie Lawson

Title

Office

Phone

(847) 837-8442

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Mark James Chyna, M.D.

  • Internal Medicine Physician
  • Libertyville, IL
  • NPI 1740273507
  NPD (past)
• Jay Ehrlich, M.D.

  • Specialist
  • Vernon Hills, IL
  • NPI 1174998751
  NPD (past)
• Ravi Kotha, MD

  • Emergency Medicine Physician
  • Crystal City, MO
  • NPI 1770526584
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689860272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N MIDLOTHIAN RD",
            "address_2": "SUITE 400",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601654",
            "telephone_number": "847-837-8442",
            "fax_number": "847-837-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N MIDLOTHIAN RD",
            "address_2": "SUITE 400",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601654",
            "telephone_number": "847-837-8442",
            "fax_number": "847-837-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "847-837-8442"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Emilia Stanek, DDS
• Gerald Vincent Stanton, M.D.
• Edward Paul Stith, MSW LCSW ACSW TYPE 7
• Byron Strakusek, RPH.
• Suburban Internal Medicine SC
• John S Sullivan, DDS
• Kelly Sviatko, IBCLC
• Zubin S Tantra, PT, FAAOMPT
• Jose Luis Tapia Jr., DMD, BDS
• Thomas C Pomierski DDS John S Sullivan DDS (Mundelein Dental Care)

• 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 Jul 21, 2022; 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.