Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUBURBAN MEDICAL CLINIC LLC
NPI 1386945319
Internal Medicine in Hanover Park, IL

Active since November 08, 2010CLIA 14D2017023 · Waiver
1802 IRVING PARK RD, HANOVER PARK, IL 60133(630) 289-0440(630) 289-0442 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2026, Mar 17, 2018, Nov 21, 2017 (3 updates tracked since 2017).

About Suburban Medical Clinic Llc NPPES

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

SUBURBAN MEDICAL CLINIC LLC (NPI 1386945319) is a healthcare organization registered as an internal medicine in Hanover Park, Illinois and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Anand M Thakkar, Owner, as its authorized official.

NPPES Registry Identity

NPI1386945319
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUBURBAN MEDICAL CLINIC LLC
Location Address1802 IRVING PARK RDHanover Park, IL 60133-3254
Mailing Address1802 Irving Park RdHanover Park, IL 60133-3254 · (630) 289-0440 · Fax (630) 289-0442
Fax(630) 289-0442
Organization SubpartNo
Authorized OfficialAnand M ThakkarOwner · (630) 289-0440
Enumeration DateNovember 8, 2010
Last NPPES UpdateOctober 11, 20263 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1386945319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
1802 IRVING PARK RD, Hanover Park, IL 60133

Other Identifiers 1

Medicaid036112261IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suburban Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Suburban Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1336190040
1802 IRVING PARK RD
Hanover Park, IL 60133
(630) 289-0440
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2017023

Suburban Medical Clinic LLC · Hanover Park, IL
Active · expires Dec 1, 2026
CLIA Number14D2017023
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorRitesh Patel MD
Laboratory Phone(630) 289-0440
Laboratory LocationSuburban Medical Clinic LLC1802 Irvin Park Rd, Hanover Park, IL 60133
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinic LLC's NPI number?

The NPI number for Suburban Medical Clinic LLC is 1386945319. It was assigned to this organization in the NPPES registry on November 8, 2010.

Where is Suburban Medical Clinic LLC located?

Suburban Medical Clinic LLC is located at 1802 Irving Park Rd, Hanover Park, IL 60133. The listed phone number is (630) 289-0440.

What is Suburban Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suburban Medical Clinic LLC enrolled in Medicare?

Yes. Suburban Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suburban Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Suburban Medical Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Suburban Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2017023) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suburban Medical Clinic LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Suburban Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suburban Medical Clinic LLC was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.