SUBURBAN ORTHOPAEDICS LTD (NPI# 1275749475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275749475 |
| Entity Type | Organization |
| Organization Name | SUBURBAN ORTHOPAEDICS LTD |
| Practice Address |
1110 W Schick Rd Bartlett IL 60103 |
| Practice Telephone | 6302337029 |
| Practice Fax Number | 6304830852 |
| Mailing Telephone | 6302337029 |
| Mailing Fax Number | 6304830852 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-07-23 |
| Authorized Official Name | MR. DAMON BYERS (PRACTICE MANAGER) |
| Authorized Official Telephone | 6303721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 085002852 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036097451 | IL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 070012618 | IL | Allopathic & Osteopathic Physicians |
| N | 111N00000X | Chiropractor | 038007742 | IL | Chiropractic Providers |
| N | 363A00000X | Physician Assistant | 085001660 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207X00000X | Orthopaedic Surgery | 036064932 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064932 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 01626816 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053702662 | Suburban Orthopaedics Ltd | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-02-18 |
| Street Address |
1110 W SCHICK RD |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103 |
| 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 |
| 1053702662 | Suburban Orthopaedics Ltd | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-02-18 |
| 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 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669593935 | Advanced Orthopaedic and Neurologic Associates | Orthopaedic Surgery | 1691 S Rte 59, Bartlett, IL 60103 | 2007-04-03 |
| 1225023260 | Arsen H Manugian | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-09-15 |
| 1831433291 | Central Dupage Physician Group | Orthopaedic Surgery | 820 S Il Route 59, Suite 320, Bartlett, IL 60103-1694 | 2012-11-23 |
| 1760698534 | Ankur M Chhadia | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2007-05-16 |
| 1629295209 | Christopher Mark Pokabla | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2007-04-18 |
| 1215067996 | Christopher Allen Ferguson | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2007-03-06 |
| 1467508846 | Howard I Freedberg | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2007-01-26 |
| 1306857727 | Thomas A Mcnally | Orthopaedic Surgery | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2006-08-10 |
| 1629068200 | Jean Simard | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-10-25 |
| 1871589283 | Stephen M Waggoner | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-09-21 |
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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.