Symphony Medical Group PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

060.010675 Issued in IL

Legal business name

SYMPHONY MEDICAL GROUP PC

Practice address

327 Gundersen Dr Ste C
Carol Stream, IL 60188-2453

Phone

(630) 668-2416

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stasia Eileen Kahn, MD

Title

President

Phone

(630) 668-2416

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1831469410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR STE C",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882453",
            "telephone_number": "630-668-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR STE C",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882453",
            "telephone_number": "630-668-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "STASIA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-668-2416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "060.010675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1508869744",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Sugay, PTA
• John E Sullivan, D.D.S.
• Hiral Suthar
• Linda M Svazas, RPH
• Abdulaziz Syed, LCSW
• Mary Taccona, APRN, FNP-BC
• Raymundo Bernardo Tad-Y Jr., LCPC, NCE, NCSC
• Nicole Jean Talsma, MS
• Douglas Tansor Jr., D.C.
• Brandon Mitchell Taylor, D.C.

• Clinic/Center in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.