Suburban Physicians SC – Neurology Physician, NPI 1376612630
Neurology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Suburban Physicians SC
1177 N Highland Ave Ste 106
Aurora, IL 605062200
Phone: (630) 553-2545
Type: Location
North Highland Avenue, Aurora, Aurora Township, Kane County, Illinois, 60506, United States
AURORA, IL 605062200
Phone: (630) 553-2545
Type: Location
4075 FOX VALLEY CENTER DR, UNIT 3
AURORA, IL 605044108
Phone: (630) 978-1111
Fax: (630) 978-1180
Type: Mailing
4075, Fox Valley Center Drive, Fox Valley Mall, Aurora, Naperville Township, DuPage County, Illinois, 60504, United States
UNIT 3
AURORA, IL 605044168
Phone: (630) 978-1111
Fax: (630) 978-1180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061215000071 | O | Clinic/Group Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60506)
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