SOUTH SUBURBAN MEDICAL CLINIC LLC
NPI 1750532420
Internal Medicine in Olympia Fields, IL
NPI Status: Active since September 30, 2008
Contact Information
3800 W 203RD ST
SUITE 201
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 748-9952
Fax: (708) 748-9924
- Organization
- Internal Medicine
About SOUTH SUBURBAN MEDICAL CLINIC LLC
This page provides the complete NPI Profile along with additional information for South Suburban Medical Clinic Llc, an internist established in Olympia Fields, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750532420 assigned on September 2008. The practitioner's primary taxonomy code is 207R00000X with license number 036103449 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nadeem Ahmad Md (Owner)
- NPI
- 1750532420
- Provider Name
- SOUTH SUBURBAN MEDICAL CLINIC LLC
- Entity Type
- Organization
- Location Address
- 3800 W 203RD ST SUITE 201 OLYMPIA FIELDS, IL 60461
- Location Phone
- (708) 748-9952
- Location Fax
- (708) 748-9924
- Mailing Address
- 3800 W 203RD ST SUITE 201 OLYMPIA FIELDS, IL 60461
- Mailing Phone
- (708) 748-9952
- Mailing Fax
- (708) 748-9924
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2008
- Last Update Date
- 01-11-2010
- Code Navigator
An internist like South Suburban Medical Clinic Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036103449
- License State
- IL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036103449 | MEDICAID (05) | IL | |
| 1700868023 | OTHER (01) | IL | INDIVIDUAL NPI |
| H47817 | MEDICARE UPIN (02) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 3 | 2 | 4 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 3 | 4 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 3 + 4 + 4 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750532420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417967829 | LAWRENCE U HASPEL DO Individual | Internal Medicine (Cardiovascular Disease) | 3800 W 203RD ST STE 202 OLYMPIA FIELDS, IL 60461 (708) 747-0461 |
| 1790976231 | MIDWEST PHYSICIAN GROUP LTD Organization | Nurse Practitioner | 3800 W 203RD ST OLYMPIA FIELDS, IL 60461 (708) 747-0461 |
| 1669635223 | FRANKFORT MEDICAL CLINIC Organization | Internal Medicine | 3800 W 203RD ST SUITE 201 OLYMPIA FIELDS, IL 60461 (815) 464-7212 |
| 1366716185 | ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE Organization | Internal Medicine (Infectious Disease) | 3800 W 203RD ST SUITE 202 OLYMPIA FIELDS, IL 60461 (708) 679-2010 |
| 1427036052 | BAMPEN CHARO MD Individual | Internal Medicine (Pulmonary Disease) | 3800 W 203RD ST STE 202 OLYMPIA FIELDS, IL 60461 (708) 679-2660 |
| 1215996301 | PANKAJ JAIN M.D. Individual | Internal Medicine (Pulmonary Disease) | 3800 W 203RD ST SUITE 202 OLYMPIA FIELDS, IL 60461 (708) 679-2660 |
| 1184648404 | CLARISSA JONES ACNP Individual | Nurse Practitioner (Acute Care) | 3800 W 203RD ST SUITE 204 OLYMPIA FIELDS, IL 60461 (708) 679-2670 |
| 1932159449 | SHARAD P MEHTA M.D. Individual | Nuclear Medicine | 3800 W 203RD ST SUITE 202 OLYMPIA FIELDS, IL 60461 (708) 679-2660 |
| 1114357845 | SUBURBAN INFECTIOUS DISEASE LLC Organization | General Acute Care Hospital | 3800 W 203RD ST SUITE 201 OLYMPIA FIELDS, IL 60461 (708) 207-1831 |
| 1558325498 | DEVANGI SREEKANTH M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3800 W 203RD ST SUITE 204 OLYMPIA FIELDS, IL 60461 (708) 679-2670 |
| 1306828140 | MS. BARBARA ZENG KWASNY NP-C Individual | Nurse Practitioner (Family) | 3800 W 203RD ST OLYMPIA FIELDS, IL 60461 (708) 679-2035 |
| 1407812050 | HASSAN KIESO Individual | Internal Medicine (Cardiovascular Disease) | 3800 W 203RD ST SUITE 204 OLYMPIA FIELDS, IL 60461 (708) 679-2670 |
| 1972640654 | MIDWEST PHYSICIAN GROUP LTD Organization | Internal Medicine (Cardiovascular Disease) | 3800 W 203RD ST SUITE 202 OLYMPIA FIELDS, IL 60461 (708) 747-0461 |
| 1932523362 | PULMONARY AND SLEEP ASSOCIATES INC. Organization | Clinic/Center (Medical Specialty) | 3800 W 203RD ST SUITE 201 OLYMPIA FIELDS, IL 60461 (815) 464-0197 |
| 1518583491 | MRS. STEPHANIE WARD APRN Individual | Nurse Practitioner (Family) | 3800 W 203RD ST OLYMPIA FIELDS, IL 60461 (708) 852-2634 |
| 1538504493 | HASSAN G AZAR MD Individual | Internal Medicine (Pulmonary Disease) | 3800 W 203RD ST SUITE 202 OLYMPIA FIELDS, IL 60461 (708) 679-2661 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750532420, enumerated in the NPI registry as an "organization" on September 30, 2008
The provider is located at 3800 W 203rd St Suite 201 Olympia Fields, Il 60461 and the phone number is (708) 748-9952
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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