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SUBURBAN SURGICAL ASSOCIATES LTD NPI 1821088667


NPI Information

NPI: 1821088667
Provider Name: SUBURBAN SURGICAL ASSOCIATES, LTD
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
908 N ELM ST STE 202
HINSDALE, IL
ZIP 60521
Phone: (708) 484-0621
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SUBURBAN SURGICAL ASSOCIATES, LTD is a surgery in Hinsdale, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SUBURBAN SURGICAL ASSOCIATES, LTD NPI is 1821088667. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

908 N ELM ST STE 202
HINSDALE, IL
ZIP 60521-637
Phone: (708) 484-0621
Fax: (708) 484-0250

The provider's authorized official is Jeffrey K Zawacki .
The authorized official title is President and has the following contact phone number (708) 484-0621.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 11/1/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
2208600000XSurgery036-079983ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101619787OTHERBCBSIL GROUP NUMBER
2PUL3GQNWVE5NMEDICAIDILLINOIS

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: 5/5/2024

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