Suburban Pulmonary & Critical Care Assoc, Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SUBURBAN PULMONARY & CRITICAL CARE ASSOC, INC

Practice address

3 Erie CT Ste 7010
Oak Park, IL 60302-2519

Phone

(847) 376-8969

Fax

(773) 283-8688

NPI assigned

Aug 3, 2018

Organization subpart

No

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

Authorized official

Name

Jyothi Jolepalem, MDNPI 1669574299

Title

President

Phone

(847) 376-8969

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Jyothi Jolepalem, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1669574299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1861970626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590466",
            "telephone_number": "847-376-8969",
            "fax_number": "773-283-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT STE 7010",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "847-376-8969",
            "fax_number": "773-283-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PULMONARY & CRITICAL CARE ASSOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "JOLEPALEM",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-376-8969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Darielle Struggs
• Amy M Stuart
• Jessica M Stuckman, MOTR/L
• Denise Suarez, SLP
• Suburban Clinical Services P C
• Tiffany Such
• Deva Suckerman, LCPC
• Vineela Joyce Sukasi
• Ghania Sukhera, DMD
• Vania Seyram Sulley

• Pulmonary Disease Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.