SUBURBAN ORTHOPAEDICS LTD (NPI# 1053702662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053702662 |
| Entity Type | Organization |
| Organization Name | SUBURBAN ORTHOPAEDICS LTD |
| Practice Address |
1110 W Schick Rd Bartlett IL 60103-3007 |
| Practice Telephone | 6304830852 |
| Mailing Telephone | 6304830852 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DAMON BYERS (PRACTICE MANAGER) |
| Authorized Official Telephone | 8473386316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 036064932 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 01626816 | 01 | |
| IL | 036064932 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749475 | Suburban Orthopaedics Ltd | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103 | 2007-05-15 |
| Street Address |
1110 W SCHICK RD |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230345 | Dmitry Novoseletsky | Physical Medicine & Rehabilitation | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2006-07-20 |
| 1134690548 | Hannah Kathleen Slinkman | Specialist/Technologist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-12-10 |
| 1245711217 | Molly Calhoun | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-27 |
| 1740760149 | Michael Mcclellan | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-15 |
| 1376922187 | Michael Sheehan | Radiology | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-05-26 |
| 1659776425 | Suburban Orthopaedics | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2014-10-23 |
| 1013345354 | Keith Welker | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2013-10-24 |
| 1164773727 | Michele Branka | Physical Therapist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2012-09-24 |
| 1720360100 | Lisa Marie Ayotte | Physical Therapist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-09-12 |
| 1417256272 | Kyle S. Peterson | Podiatrist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225526627 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 820 W Bartlett Rd, Bartlett, IL 60103-4402 | 2018-05-01 |
| 1164965406 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2016-11-18 |
| 1659776425 | Suburban Orthopaedics | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2014-10-23 |
| 1770732430 | Central Dupage Health | Non-Pharmacy Dispensing Site | 820 Route 59, Bartlett, IL 60103 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.