Organization Active NPI

Suleman J. Bangash D.O.S.C.

  • MOHS-Micrographic Surgery Physician
  • Elgin, IL
National Provider Identifier
1841469830
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036116375 Issued in IL
Legal business name
SULEMAN J. BANGASH D.O.S.C.
Practice address
1750 N Randall Rd Ste 120
Elgin, IL 60123-7900
Phone
(847) 608-6647
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Suleman J. Bangash, D.O.NPI 1942302864
Title
Owner
Phone
(586) 944-3391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 036116375 IL Primary

Addresses

Primary practice location

1750 N Randall Rd Ste 120
Elgin, IL 60123-7900

Mailing address

1750 N Randall Rd Ste 120
Elgin, IL 60123-7900
Phone (815) 455-7143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000668 IL Part B Supplier - Clinic/Group Practice 8729165006 Receives reassigned benefits from 22 practitioners
Practice locations: St Charles, IL; Rockford, IL; McHenry, IL; Ingleside, IL; Huntley, IL; Crystal Lake, IL; Elgin, IL; Hoffman Estates, IL…

National Provider Directory

National Provider Directory

Locations

3060 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 394-1202

40W222 Lafox Rd
Ste J1
St Charles, IL 60175
Phone (630) 513-9160

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1841469830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 120",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "815-455-7143",
            "fax_number": "779-356-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 120",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-608-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULEMAN J. BANGASH D.O.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BANGASH",
        "authorized_official_first_name": "SULEMAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-944-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036116375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.