NPIMap

Organization Active NPI

Sureguard LLC

  • Internal Medicine Physician
  • Bloomingdale, IL
National Provider Identifier
1861229197
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUREGUARD LLC
Practice address
1 Tiffany PT Ste 110
Bloomingdale, IL 60108-2915
Phone
(630) 924-1160
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Lee Brochstein
Title
Exective Director of Corporate Ops
Phone
(713) 703-8642

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

1 Tiffany PT Ste 110
Bloomingdale, IL 60108-2915

Mailing address

3414 Gannett St
Houston, TX 77025-3712

National Provider Directory

National Provider Directory
Tax ID family
Sureguard LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1861229197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 GANNETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082915",
            "telephone_number": "630-924-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREGUARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BROCHSTEIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR OF CORPORATE OPS",
        "authorized_official_telephone_number": "713-703-8642"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.