Samir Suleiman MD SC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

036071782 Issued in IL

Legal business name

SAMIR SULEIMAN MD SC

Practice address

7617 W Belmont Ave
Elmwood Park, IL 60707-1113

Phone

(708) 583-1410

Fax

(708) 453-4690

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samir Suleiman, M.DNPI 1811971765

Title

Owner/ Doctor

Phone

(708) 583-1410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samir Suleiman MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Samir Suleiman, MD

  • Pediatrics Physician
  • Elmwood Park, IL
  • NPI 1811971765
  NPD (past) Authorized official
• Shaheena Ahmed, D.O.

  • Pediatrics Physician
  • Skokie, IL
  • NPI 1548231558
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1881880672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 W BELMONT AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071113",
            "telephone_number": "708-583-1410",
            "fax_number": "708-453-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 W BELMONT AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071113",
            "telephone_number": "708-583-1410",
            "fax_number": "708-453-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR SULEIMAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "SULEIMAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "708-583-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036071782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071782",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samir Suleiman MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rush-Select Holdings, LLC.
• Nader Sadi, DPM
• Shiny E Saju, FNP
• Evelyn Salcedo, LCSW
• Paul Samatas, CCC-SLP
• Dina Annsar Samrah, DPT
• Manuel D Santiago, MD
• Carly Christine Schneider, LCPC
• Charles Bradley Schubert, MD
• Mariya Shcherbyuk

• Pediatric Adolescent Medicine Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Pediatric Adolescent Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.