Susila Subramanian MD SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036062896 Issued in IL

Legal business name

SUSILA SUBRAMANIAN MD SC

Practice address

150 N River Rd
Suite 240
Des Plaines, IL 60016-1272

Phone

(847) 391-9033

Fax

(847) 391-9177

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susila Subramanian, M.D.

Title

President

Phone

(847) 391-9033

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1881876803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSILA SUBRAMANIAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "SUSILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-391-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036062896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062896",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0001637265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth A Sum, MD
• Sumac Surgical Associates LTD
• Superb Home Health, Inc.
• Malgorzata Surowiec
• Susana C Lapid MDSC
• Kristen Svatos, LCSW
• Dorothea Swiderska, LCSW
• Donald K Szachowicz, MD
• Adam A Szudarski, OT
• Gabrielle Monica Szwajca, O.D

• Pediatrics Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.