Suburban Pain Care Surgical Facility LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUBURBAN PAIN CARE SURGICAL FACILITY LLC

Practice address

18425 W Creek Dr
Ste B
Tinley Park, IL 60477-6767

Phone

(630) 810-0451

Fax

(877) 446-3870

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Elton Wade Dixon, M.D.NPI 1881703387

Title

Physician/Owner

Phone

(630) 810-0451

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elton Wade Dixon, MD

  • Physical Medicine & Rehabilitation Physician
  • Naperville, IL
  • NPI 1881703387
  NPD (past) Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1912157108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W 61ST ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592615",
            "telephone_number": "630-810-0451",
            "fax_number": "877-446-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 W CREEK DR",
            "address_2": "STE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776767",
            "telephone_number": "630-810-0451",
            "fax_number": "877-446-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PAIN CARE SURGICAL FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "630-810-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strive ABA Consultants LLC
• Kristina Stuedemann, DMD
• Jill Stulga, MPT
• Ronald S Stumbris, MD
• Evan B Suan, MD
• Suburban Surgical Facility
• Serah Sulaiman
• Mohammad Suleiman, PHARMD
• Mohammad Suleiman
• Sullivan Urgent Aid Centers, LTD

• Specialist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.