Active NPI
Athletic and Industrial Medicine
Doing business as AIM Immediate Care
- Urgent Care Clinic/Center
- Sycamore, IL
National Provider Identifier
1700924222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 036081304
- Legal business name
- ATHLETIC AND INDUSTRIAL MEDICINE
- Doing business as
- AIM Immediate Care
- Practice address
- 1985 Dekalb Ave
Suite 300
Sycamore, IL 60178-3107 - Phone
- (815) 754-1122
- Fax
- (815) 787-3678
- NPI assigned
- Feb 5, 2007
- Last updated
- May 23, 2008
- 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
- Ms. Cynthia Frances Susedik, D.O.
- Title
- Member
- Phone
- (815) 754-1122
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 036081304 | IL | Primary |
| Urgent Care Clinic/Center | 261QU0200X | 036079869 | IL |
Addresses
Primary practice location
1985 Dekalb Ave
Suite 300
Sycamore, IL 60178-3107
Mailing address
1985 Dekalb Ave
Suite 300
Sycamore, IL 60178-3107
Phone (815) 754-1122
Other names 1
- AIM Immediate Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1417977125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1700924222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 DEKALB AVE",
"address_2": "SUITE 300",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783107",
"telephone_number": "815-754-1122",
"fax_number": "815-787-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 DEKALB AVE",
"address_2": "SUITE 300",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783107",
"telephone_number": "815-754-1122",
"fax_number": "815-787-3678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHLETIC AND INDUSTRIAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "SUSEDIK",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "FRANCES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "815-754-1122",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "IL",
"license": "036081304",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "IL",
"license": "036079869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AIM Immediate Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sycamore, IL
- Amanda J. Arnold, PT
- Bridget Faye Artrip, PA-C
- Briana Nicole Arzuaga, AUD
- Association for Individual Development
- Association for Individual Development (AID DeKalb County Jail)
- Ami Beth Atkins, MAT
- Jelmir Atkins, LPC
- Back to Balance Counseling and Consulting PLLC
- Daniel Joseph Bade, DO
- Rugiatu Bah, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.