1. Home
  2. Directory
  3. Illinois
  4. Carol Stream
  5. Clinic Center
  6. NPI Profile

SUBURBAN MEDICAL GROUP CORP
NPI 1134824410
Clinic/Center - Urgent Care in Carol Stream, IL

Active since April 04, 2023CLIA 14D2231616 · Waiver
200 N GARY AVE, CAROL STREAM, IL 60188(630) 326-8766(630) 326-8768 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, Jul 24, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Suburban Medical Group Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBURBAN MEDICAL GROUP CORP (NPI 1134824410) is a healthcare organization registered as an urgent care in Carol Stream, Illinois and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Mohd Mohiuddin, President, as its authorized official.

NPPES Registry Identity

NPI1134824410
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSUBURBAN MEDICAL GROUP CORP
Location Address200 N GARY AVECarol Stream, IL 60188-1834
Mailing Address200 N Gary AveCarol Stream, IL 60188-1834 · (630) 326-8766 · Fax (630) 326-8768
Phone(630) 326-8766
Fax(630) 326-8768
Organization SubpartNo
Authorized OfficialMohd MohiuddinPresident · (630) 360-2958
Enumeration DateApril 4, 2023
Last NPPES UpdateMay 10, 20243 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1134824410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
200 N GARY AVE, Carol Stream, IL 60188
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2231616

Suburban Medical Group · Bolingbrook, IL
Active · expires Aug 3, 2027
CLIA Number14D2231616
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorZahid Shuttari M D
Laboratory Phone(630) 326-8766
Laboratory LocationSuburban Medical Group693 W Boughton Rd, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEENA ALEENA EETTICKAL D.O
Family Medicine
200 N GARY AVE
CAROL STREAM, IL 60188
Dupage County (630) 360-2958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suburban Medical Group Corp's NPI number?

The NPI number for Suburban Medical Group Corp is 1134824410. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Suburban Medical Group Corp located?

Suburban Medical Group Corp is located at 200 N Gary Ave, Carol Stream, IL 60188. The listed phone number is (630) 326-8766.

What is Suburban Medical Group Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Suburban Medical Group Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2231616) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Suburban Medical Group Corp was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.