Suburban Surgical Facility

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUBURBAN SURGICAL FACILITY

Practice address

18660 Graphic Dr
Ste 100
Tinley Park, IL 60477-6260

Phone

(630) 810-0451

Fax

(877) 446-3870

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Elton Wade Dixon, MDNPI 1881703387

Title

Director

Phone

(630) 810-0451

Specialties & licenses 1

Addresses

Practitioners 2

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

• Elton Wade Dixon, MD

  • Physical Medicine & Rehabilitation Physician
  • Naperville, IL
  • NPI 1881703387
  NPD (past) Authorized official
• Manisha Saraf Khanna, MD

  • Physical Medicine & Rehabilitation Physician
  • Naperville, IL
  • NPI 1104935600
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1720165723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S WASHINGTON ST",
            "address_2": "STE 22",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406795",
            "telephone_number": "630-810-0451",
            "fax_number": "877-446-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 GRAPHIC DR",
            "address_2": "STE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776260",
            "telephone_number": "630-810-0451",
            "fax_number": "877-446-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SURGICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-810-0451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Stuedemann, DMD
• Jill Stulga, MPT
• Ronald S Stumbris, MD
• Evan B Suan, MD
• Suburban Pain Care Surgical Facility LLC
• Serah Sulaiman
• Mohammad Suleiman, PHARMD
• Mohammad Suleiman
• Sullivan Urgent Aid Centers, LTD
• Michelle L Sullivan, D.O.

• Ambulatory Surgical Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.