NPIMap

Organization Active NPI

Dominic J Tolitano, MD SC

Doing business as Suburban Cardiovascular Surgery Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wood Dale, IL
National Provider Identifier
1881783199
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
042617537 Issued in IL
Legal business name
DOMINIC J TOLITANO, MD SC
Doing business as
Suburban Cardiovascular Surgery Associates
Practice address
311 N. Walnut Ave
Suite 100
Wood Dale, IL 60191
Phone
(630) 860-0035
Fax
(630) 860-5262
NPI assigned
Oct 12, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dominic J Tolitano, MDNPI 1811959992
Title
President
Phone
(630) 860-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 042617537 IL Primary

Addresses

Primary practice location

311 N. Walnut Ave
Suite 100
Wood Dale, IL 60191

Mailing address

PO Box 126
Wood Dale, IL 60191
Phone (630) 860-0035

Other identifiers 4

IdentifierTypeStateIssuer
780000579OtherILRAILROAD MEDICARE
042617537OtherILREGISTERED CORP LICENSE
DG8754OtherILRAIL ROAD MEDICARE
02233112OtherILBCBS PROVIDER ID

Other names 1

  • Suburban Cardiovascular Surgery Associates Doing business as

National Provider Directory

National Provider Directory

Locations

311 N Walnut Ave
Ste 100
Wood Dale, IL 60191
Phone (630) 860-0035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1881783199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "60191",
            "telephone_number": "630-860-0035",
            "fax_number": "630-860-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N. WALNUT AVE",
            "address_2": "SUITE 100",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "60191",
            "telephone_number": "630-860-0035",
            "fax_number": "630-860-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC J TOLITANO, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "TOLITANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-860-0035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "042617537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "780000579",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED CORP LICENSE",
            "identifier": "042617537",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DG8754",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "02233112",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Cardiovascular Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wood Dale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.