ACADEMIC ENDOCRINE METABOLISM & NUTRITION (NPI# 1912963919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912963919 |
| Entity Type | Organization |
| Organization Name | ACADEMIC ENDOCRINE METABOLISM & NUTRITION |
| Practice Address |
120 Spalding Dr Suite 401 Naperville IL 60540-6508 |
| Practice Telephone | 6304164501 |
| Practice Fax Number | 6304164504 |
| Mailing Telephone | 6304164501 |
| Mailing Fax Number | 6304164504 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | DR. DAESMAN SURI (ENDOCRINOLOGIST) |
| Authorized Official Telephone | 6304164501 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
042617401 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA NUMBER | BS9557490 | 01 |
| IL | ILLINOIS PROFESSIONAL LIC | 036108885 | 01 |
| IL | CS LICENSE # | 336075844 | 01 |
| Street Address |
120 SPALDING DR SUITE 401 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166210 | David Schlieben | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2005-07-07 |
| 1760915276 | Julie Ann Freeman | Nurse Practitioner | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2017-04-11 |
| 1770037947 | Jason Vick | Nurse Practitioner | 120 Spalding Dr, Suite 310, Naperville, IL 60540-6508 | 2016-08-05 |
| 1104209832 | Tania M Yackle | Social Worker | 120 Spalding Dr, 408, Naperville, IL 60540-6508 | 2015-06-30 |
| 1558740563 | Edward Health Ventures | Surgery | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2015-05-22 |
| 1518345008 | Heidi Meekma | Nurse Practitioner | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2015-05-15 |
| 1881088557 | Edward Health Ventures | Psychiatry & Neurology | 120 Spalding Dr, Ste 307, Naperville, IL 60540-6508 | 2015-03-20 |
| 1366840407 | Beverly Wendell | Clinical Nurse Specialist | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2014-12-05 |
| 1063830081 | Edward Health Ventures | Clinic/Center | 120 Spalding Dr, Ste 207, Naperville, IL 60540-6508 | 2014-04-07 |
| 1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588847461 | Arati A Reddy Md Sc | Internal Medicine | 720 S Brom Dr, Suite 204, Naperville, IL 60540-6534 | 2007-12-13 |
| 1780957654 | Dr. Mary Deherrera-codo Md PC | Internal Medicine | 720 Brom Ct, Suit 204, Naperville, IL 60540-6531 | 2012-02-22 |
| 1760625255 | Treatment Center for Metabolic Disorders and Research Institute Sc | Internal Medicine | 1555 Naperville Wheaton Rd, Suite 206, Naperville, IL 60563-1557 | 2009-04-13 |
| 1861663692 | Falguni Vasa Md Sc | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2008-03-19 |
| 1184741951 | Falguni R Vasa | Internal Medicine | 720 Brom Ct, Suite 204, Naperville, IL 60540-6531 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on ACADEMIC ENDOCRINE METABOLISM & NUTRITION.
| 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.