Organization Active NPI

Suburban Visiting Physicians Group, LLC

  • Primary Care Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1942828348
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SUBURBAN VISITING PHYSICIANS GROUP, LLC
Practice address
3612 Lincoln Hwy Ste 1
Olympia Fields, IL 60461-1637
Phone
(312) 257-1747
NPI assigned
Jul 12, 2020
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Tomeka Hill, ANP
Title
Ceo
Phone
(312) 257-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3612 Lincoln Hwy Ste 1
Olympia Fields, IL 60461-1637

Mailing address

3612 Lincoln Hwy Ste 1
Olympia Fields, IL 60461-1637

National Provider Directory

National Provider Directory

Locations

3612 Lincoln Hwy
Ste 1
Olympia Fields, IL 60461
Phone (312) 257-1747

NPI Registry JSON

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1942828348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY STE 1",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY STE 1",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611637",
            "telephone_number": "312-257-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN VISITING PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-257-1747",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.