MEDICARE: ACADEMIC ENDOCRINE METABOLISM & NUTRITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	042617401	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	336075844	OTHER	IL	CS LICENSE #
2	036108885	OTHER	IL	ILLINOIS PROFESSIONAL LIC

General Provider Information

NPI Number	:	1912963919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADEMIC ENDOCRINE METABOLISM & NUTRITION

Provider Business Mailing Address
First Line	:	120 SPALDING DR
Second Line	:	SUITE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6508
Country	:	US
Telephone Number	:	630-416-4501
Fax Number	:	630-416-4504

Provider Business Practice Location Address
First Line	:	120 SPALDING DR
Second Line	:	SUITE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6508
Country	:	US
Telephone Number	:	630-416-4501
Fax Number	:	630-416-4504

Authorized Official
Title or Position	:	ENDOCRINOLOGIST
Name	:	DR. DAESMAN SURI
Credential	:	MD
Telephone Number	:	630-416-4501

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1538166210 — DAVID SCHLIEBEN MD
Practice Location Address:

120 SPALDING DR , SUITE 410
NAPERVILLE, IL
60540-6508

Practice Phone: 630-369-0780
Practice Fax: 630-369-0886

1245227271 — CATHLEEN M CREGIER APN
Practice Location Address:

120 SPALDING DR , SUITE 310
NAPERVILLE, IL
60540-6508

Practice Phone: 630-527-7780
Practice Fax: 630-527-7777

1588643399 — ELIZABETH WHITNEY DEVANEY LCSW
Practice Location Address:

120 SPALDING DR , NAPERVILLE
NAPERVILLE, IL
60540-6508

Practice Phone: 630-527-5484
Practice Fax: 630-527-5488

1346202165 — MRS. JEANNE MARIE ONDYAK CNP
Practice Location Address:

120 SPALDING DR , SUITE 401
NAPERVILLE, IL
60540-6508

Practice Phone: 630-416-4501
Practice Fax: 630-416-4504

1023074051 — SHEILA TREFTZ APN
Practice Location Address:

120 SPALDING DR , SUITE 401
NAPERVILLE, IL
60540-6508

Practice Phone: 630-416-4501
Practice Fax: 630-416-4504

1356309694 — DR. JOHN J. GASHKOFF M.D.
Practice Location Address:

120 SPALDING DR , STE 400
NAPERVILLE, IL
60540-6508

Practice Phone: 630-967-6000
Practice Fax:

Directions to “ACADEMIC ENDOCRINE METABOLISM & NUTRITION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.