Organization Active NPI

Athletic and Industrial Medicine

Doing business as AIM Immediate Care

  • Urgent Care Clinic/Center
  • Sycamore, IL
National Provider Identifier
1700924222
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
036081304 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.