Suburban Surgical Associates, LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036-079983 Issued in IL

Legal business name

SUBURBAN SURGICAL ASSOCIATES, LTD

Practice address

908 N Elm St Ste 309
Hinsdale, IL 60521-3625

Phone

(708) 484-0621

Fax

(708) 484-0250

NPI assigned

Oct 24, 2005

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey K Zawacki, M.D.NPI 1790774750

Title

President

Phone

(708) 484-0621

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Suburban Metabolic Institute, LLC

  • Specialist
  • Hinsdale, IL
  • NPI 1659690022
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey K Zawacki, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1790774750
  Medicare reassignment NPD Authorized official
• Mark S Choh, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1023283611
  Medicare reassignment NPD
• Robin Lynn Favor, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1912153909
  Medicare reassignment NPD
• Ryan C Headley, M.D.

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1659309375
  NPD (past)
• Christopher D Joyce, M.D.

  • Surgery Physician
  • New Lenox, IL
  • NPI 1619018025
  NPD (past)
• Mouhammad E Souman, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1366431322
  NPD (past)
• James J Greenberg, M.D.

  • Surgery Physician
  • Lake Geneva, WI
  • NPI 1164412136
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1821088667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 309",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 309",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SURGICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "ZAWACKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-484-0621",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-079983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP NUMBER",
            "identifier": "01619787",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PUL3GQNWVE5N",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larana A Stropus, MS, ATC
• Astrea Lisette Suarez, BA, BA, MA, PSYD
• Victor R Suarez, M.D.
• Suburban Cardiologists, S.C.
• Suburban Metabolic Institute, LLC
• Faiza Sulaiman, DO
• Daniel Joseph Sullivan, M.D.
• Thomas D Sullivan, M.D.
• Superior Neurology and Emg, PLLC
• Surgical Consultants of Dupage

• Surgery Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.