Nesreen Suwan MDSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NESREEN SUWAN MDSC

Practice address

505 Midwest Club Pkwy
Oak Brook, IL 60523-2529

Phone

(630) 420-8080

Fax

(630) 952-1447

NPI assigned

Jun 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nesreen Suwan, MD

Title

President

Phone

(630) 420-8080

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1962817643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232529",
            "telephone_number": "630-420-8080",
            "fax_number": "630-952-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232529",
            "telephone_number": "630-420-8080",
            "fax_number": "630-952-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESREEN SUWAN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "SUWAN",
        "authorized_official_first_name": "NESREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-420-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K17636",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abid Khalid Nazeer, M.D.
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• Nercy Jafari MD PC
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• New Day Wound Care of Wisconsin, LLC

• Neurology Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.