Active NPI
Suhail Health Care Inc
- Family Medicine Physician
- Hazel Crest, IL
National Provider Identifier
1700554599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUHAIL HEALTH CARE INC
- Practice address
- 3330 W 177TH St
Hazel Crest, IL 60429-2184 - Phone
- (630) 699-1553
- NPI assigned
- Sep 5, 2021
- Last updated
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Moiz A Suhail, MD
- Title
- President
- Phone
- (630) 699-1553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3330 W 177TH St
Hazel Crest, IL 60429-2184
Mailing address
6 Devon Ridge CT
Burr Ridge, IL 60527-8377
Phone (630) 699-1553
Other practice location 1
1101 Mills Rd
Joliet, IL 60433-2864
Phone (630) 699-1553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.155890 | Other | IL | ILLINOIS PHYSICIAN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Glen Ellyn, IL
- NPI 1255825543
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1225806094
-
- Internal Medicine Physician
- Summit, IL
- NPI 1295813996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1700554599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DEVON RIDGE CT",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605278377",
"telephone_number": "630-699-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292184",
"telephone_number": "630-699-1553"
}
],
"practiceLocations": [
{
"address_1": "1101 Mills Rd",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604332864",
"country_code": "US",
"telephone_number": "630-699-1553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUHAIL HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-05",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "SUHAIL",
"authorized_official_first_name": "MOIZ",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-699-1553",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PHYSICIAN LICENSE NUMBER",
"identifier": "036.155890",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.