Suresh Vade, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

134 W Main St
Dwight, IL 60420-1322

Phone

(815) 584-3347

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elisabeth Ludeman Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Park Forest, IL
  • NPI 1992841480
  NPD (past)
• Illinois Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Kankakee, IL
  • NPI 1821136821
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841330693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 AINTREE LN",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278389",
            "telephone_number": "630-655-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201322",
            "telephone_number": "815-584-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADE",
        "first_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Smith, D.C.
• Ericka L Stemple, COTA/L
• Dennis Edward Strobel, M.D.
• Travis Swink
• Melissa Townsend Trevino, PHARMD
• Nancy Lea Venhaus, M.A.,CCC-SLP/L
• Village of Dwight
• Tanya Wheeler-Bell
• WM. W. Fox Developmental Center
• WM. W. Fox Developmental Center

• Family Medicine Physician in Dwight, IL
• Providers in Dwight, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.