NPIMap

Organization Active NPI

Suburban Lung Associates SC

  • Specialist
  • Elk Grove Village, IL
National Provider Identifier
1871544049
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042005859 Issued in IL
Legal business name
SUBURBAN LUNG ASSOCIATES SC
Practice address
800 Biesterfield Rd
Suite 510
Elk Grove Village, IL 60007-3311
Phone
(847) 981-3660
Fax
(847) 956-5108
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Edward J Diamond, M.D.
Title
President
Phone
(847) 981-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 042005859 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Suite 510
Elk Grove Village, IL 60007-3311

Mailing address

800 Biesterfield Rd
Suite 510
Elk Grove Village, IL 60007-3311
Phone (847) 981-3660

Other identifiers 1

IdentifierTypeStateIssuer
1617373OtherILBCBC OF IL

National Provider Directory

National Provider Directory

Locations

810 Biesterfield Rd
Ste 404
Elk Grove Vlg, IL 60007

302 Randall Rd
Geneva, IL 60134
Phone (630) 208-6775

333 W Chestnut St
Ste 104
Hinsdale, IL 60521
Phone (630) 654-3636

300 Barney Dr
Ste C
Joliet, IL 60435
Phone (815) 744-7762

100 Spalding Dr
Bldg 1
Naperville, IL 60540

1 Erie Ct
Ste 3000
Oak Park, IL 60302
Phone (708) 383-7899

24600 W 127th St
Ste 150
Plainfield, IL 60585
Phone (815) 676-2940

25 N Winfield Rd
Ste E
Winfield, IL 60190

88 W Countryside Pkwy
Yorkville, IL 60560
Phone (630) 552-8922

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1871544049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-981-3660",
            "fax_number": "847-956-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 510",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-981-3660",
            "fax_number": "847-956-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN LUNG ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-981-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042005859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC OF IL",
            "identifier": "1617373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.