Organization Active NPI

Shua Medical Group, Inc.

  • Family Medicine Physician
  • Burr Ridge, IL
National Provider Identifier
1760617286
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHUA MEDICAL GROUP, INC.
Practice address
322 Burr Ridge Pkwy
Burr Ridge, IL 60527-6485
Phone
(630) 321-9010
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Ather Malik, D.O
Title
President
Phone
(630) 321-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

322 Burr Ridge Pkwy
Burr Ridge, IL 60527-6485

Mailing address

1133 Laurel LN
Naperville, IL 60540-7834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1760617286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 LAUREL LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BURR RIDGE PKWY",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276485",
            "telephone_number": "630-321-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-321-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.