Suburban Neurology Group, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SUBURBAN NEUROLOGY GROUP, LLC

Practice address

302 Randall Rd Ste 208
Suite 208
Geneva, IL 60134-4209

Phone

(630) 208-7790

Fax

(630) 563-2814

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Kishore Santwani, D.O.NPI 1093803975

Title

Physician/Co-Owner

Phone

(630) 208-7790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Kishore M Santwani

  • Neurology Physician
  • Geneva, IL
  • NPI 1093803975
  Medicare reassignment NPD Authorized official
• Scott J Davis, NP-C

  • Nurse Practitioner
  • Sandwich, IL
  • NPI 1518269539
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740368083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 208",
            "address_2": "SUITE 208",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-208-7790",
            "fax_number": "630-563-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 208",
            "address_2": "SUITE 208",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-208-7790",
            "fax_number": "630-563-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN NEUROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTWANI",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "PHYSICIAN/CO-OWNER",
        "authorized_official_telephone_number": "630-208-7790",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Strawniak, PT
• William Strawniak, PT
• Jon P Strotkamp, DO
• Michael A Stutz, M.D.
• Karthik Subbu, M.D.
• Kenneth P Sullivan, MD
• Shannon Maureen Sullivan
• Sarah Sullivano
• Surgery Group SC
• Ajith Robert Susai, D.O

• Medical Specialty Clinic/Center in Geneva, IL
• Providers in Geneva, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.