Sunrise Medical Center S. C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUNRISE MEDICAL CENTER S. C.

Practice address

16750 80TH Ave
Ste D
Tinley Park, IL 60477-3173

Phone

(708) 633-8300

Fax

(708) 633-8091

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Cecilia Ibrahim, M.D.

Title

President

Phone

(708) 633-8300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821079955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 80TH AVE",
            "address_2": "STE D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773173",
            "telephone_number": "708-633-8300",
            "fax_number": "708-633-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 80TH AVE",
            "address_2": "STE D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773173",
            "telephone_number": "708-633-8300",
            "fax_number": "708-633-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL CENTER S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-633-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360908461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter Center for Acute Pain Management
• Sun Rehab LTD
• Nancy Jian Sun
• Yuhan Sun, DDS
• Sunflower Patterson Inc NFP
• Supercare LLC
• Supreme Physical Therapy Co.
• Surgical Care Associates LTD
• Nicolette Paige Susralski, MA
• Yogesh G Sutrave, RSA

• Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.