Suburban Medical & Rehab Clinic, LTD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SUBURBAN MEDICAL & REHAB CLINIC, LTD

Practice address

269 S Roselle Rd
Schaumburg, IL 60193-1636

Phone

(847) 807-5502

Fax

(847) 807-5508

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aleksandr Goldvekht, M.D.

Title

President

Phone

(847) 530-9317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1760735377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931636",
            "telephone_number": "847-807-5502",
            "fax_number": "847-807-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931636",
            "telephone_number": "847-807-5502",
            "fax_number": "847-807-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL & REHAB CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "GOLDVEKHT",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-9317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110569",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Patrick Struebing, D.C.
• Sonya R. Stryczek, PA-C
• Gregory A Stump, DDS
• Denise Marie Styer, PSYD, LCPC
• Suburban Home Physicians,LLC
• Suburban Medical & Wellness Center, LLC
• Suburban Neurologists, S.C.
• Sudha1 LLC
• Margaret Ann Sujack, DDS
• Sonja Sundstrom, LPC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.