SUBBA RAO MD SC


Address: 17850 Kedzie Ave, Suite 3000, Hazel Crest, IL 60429-2058
Phone: 7087987878

SUBBA RAO MD SC (NPI# 1255596318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255596318
Entity Type Organization
Organization Name SUBBA RAO MD SC
Practice Address 17850 Kedzie Ave
Suite 3000
Hazel Crest
IL 60429-2058
Mailing Address Po Box 22
Hinsdale
IL 60522-0022
Practice Telephone 7087987878
Practice Fax Number 6308879566
Mailing Telephone 6308877073
Mailing Fax Number 6308879566
Enumeration Date 2008-07-28
Last Update Date 2009-07-02
Authorized Official Name DR. SUBBA RAO (PRESIDENT)
Authorized Official Telephone 6308877073
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS 0021606711 01
IL 036047207 05

Office Location

Street Address 17850 KEDZIE AVE
SUITE 3000
City HAZEL CREST
State IL
Zip Code 60429-2058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912903691 Robert Heidenry Ophthalmology 17850 Kedzie Ave, Suite 3500, Hazel Crest, IL 60429-2058 2005-06-27
1528517059 Lynn Roxas Kelly Nurse Practitioner 17850 Kedzie Ave, Hazel Crest, IL 60429-2058 2016-09-26
1356744452 Kristi Hughes Nurse Practitioner 17850 Kedzie Ave, Hazel Crest, IL 60429-2058 2014-10-02
1861810574 Cindy M Spicka Registered Nurse 17850 Kedzie Ave, Suite #3250, Hazel Crest, IL 60429-2058 2014-03-31
1497004139 Medplus Medical Center Sc Family Medicine 17850 Kedzie Ave, Suite 2200, Hazel Crest, IL 60429-2058 2012-09-07
1104054386 Aunt Martha's Youth Service Center, Inc. Clinic/Center 17850 Kedzie Ave, Suite 3200, Hazel Crest, IL 60429-2058 2009-06-26
1013177278 Varsha Bhan Md Sc Clinic/Center 17850 Kedzie Ave, Suite 1700, Hazel Crest, IL 60429-2058 2008-06-11
1346434651 Womens Wellness World Sc Obstetrics & Gynecology 17850 Kedzie Ave, #2600, Hazel Crest, IL 60429-2058 2007-08-29
1104948967 Christopher T. Kardasis M.d., S.c. Ophthalmology 17850 Kedzie Ave, Doctors Pavilion Suite 1200, Hazel Crest, IL 60429-2058 2007-04-04
1609905348 Philippa Norman Internal Medicine 17850 Kedzie Ave, Ste 1100, Hazel Crest, IL 60429-2055 2007-03-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917987 Nancy Sinwelski Technician 17305 Fisk Street, East Hazelcrest, IL 60429 2019-11-21
1144720871 Plentiful Hair Studio LLC Specialist 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 2018-02-19
1376052142 Natalie Allen Counselor 3518 Birchwood Dr, Hazel Crest, IL 60429 2017-09-25
1730534009 Lydena Franklin Counselor 1909 Cheker Square, East Hazel Crest, IL 60429 2016-04-25
1710331053 Lauiren Orta Counselor 1901 Cheker Square, E Hazel Crest, IL 60429 2016-04-22
1427423367 Andrea Leigh Warren Nurse Practitioner 17800 S. Kedzie Ave, Hazel Crest, IL 60429 2015-12-03
1770969354 Karriem's Developmental Services Day Training, Developmentally Disabled Services 18513 River Road, Hazel Crest, IL 60429 2015-08-05
1073905170 James Kamper Physical Therapy Assistant 1816 W 170th Street, Hazel Crest, IL 60429 2015-02-26
1194066019 Marilyn C Scott Psychologist 18505 Meadow Ln., Hazel Crest, IL 60429 2013-03-04
1649548405 Supported Independence Community/Behavioral Health 17009 Elm Drive, Hazel Crest, IL 60429 2011-12-08
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831186113 Subba V Rao Thoracic Surgery (Cardiothoracic Vascular Surgery) 17850 Kedzie, Suite 3000, Hazel Crest, IL 60429-2058 2005-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205363041 Sachowdhry Thoracic Surgery (Cardiothoracic Vascular Surgery) 1 S Summit Ave, Oakbrook Terrace, IL 60181-2212 2017-05-11
1760930028 Hiroto Kitahara Thoracic Surgery (Cardiothoracic Vascular Surgery) 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 2016-09-15
1720440282 Azad Karim Thoracic Surgery (Cardiothoracic Vascular Surgery) 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 2016-03-24
1982002838 Milton Weinberg Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 983 Kirkhill Ln, Lake Forest, IL 60045-4209 2014-12-09
1235557190 Bartlomiej Imielski Thoracic Surgery (Cardiothoracic Vascular Surgery) 201 E. Huron St., Galter 11-140, Chicago, IL 60611 2014-03-28
1841635869 Aaron Maxwell Kime Thoracic Surgery (Cardiothoracic Vascular Surgery) 133 E Brush Hill Rd Ste 200, Elmhurst, IL 60126-5661 2013-05-03
1952744823 Walter Lee Barker Thoracic Surgery (Cardiothoracic Vascular Surgery) 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 2013-04-10
1952641649 Willard A Fry Thoracic Surgery (Cardiothoracic Vascular Surgery) 1500 Sheridan Rd, #10e, Wilmette, IL 60091-1873 2013-02-18
1487903092 Horizons In Healthcare LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 372 Red Bud Ct., Frankfort, IL 60423-2128 2012-08-29
1518215284 Paul Naffah Thoracic Surgery (Cardiothoracic Vascular Surgery) 6161 So County Line Rd, Burr Ridge, IL 60527 2012-08-28
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Competitor

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City HAZEL CREST
Zip Code 60429

Improve Information

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Dataset Information

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.

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