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SUBURBAN MEDICAL CENTER S.C NPI 1063695682


NPI Information

NPI: 1063695682
Provider Name: SUBURBAN MEDICAL CENTER, S.C

Doing Business As: SUBURBAN MEDICAL CENTER, S.C

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0946685

Address:
300 FOX GLN
BARRINGTON, IL
ZIP 60010
Phone: (847) 382-6870
Get Directions

SUBURBAN MEDICAL CENTER, S.C is a family medicine in Barrington, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBURBAN MEDICAL CENTER, S.C NPI is 1063695682. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suburban Medical Center, S.c.

The provider's business location address is:

300 FOX GLN
BARRINGTON, IL
ZIP 60010-818
Phone: (847) 382-6870
Fax: (847) 382-6083

The provider's authorized official is Ritesh Patel .
The authorized official title is Owner and has the following contact phone number (847) 995-9500.

The CLIA number assigned to this NPI record is 14D0946685 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 8/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036056234ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14900938OTHERILLINOISBLUE CROSS BLUE SHIELD
2036056234MEDICAIDILLINOIS
3212292OTHERILLINOISMEDICARE GROUP NUMBER
440734OTHERILLINOISADVOCATE PHO
5BT0172875OTHERILLINOISDEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.