UIC CANCER CENTER AT MACNEAL (NPI# 1275843476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275843476 |
Entity Type | Organization |
Organization Name | UIC CANCER CENTER AT MACNEAL |
Practice Address |
6801 34th St Suite 107 Berwyn IL 60402-5591 |
Practice Telephone | 7084848400 |
Practice Fax Number | 7084848426 |
Mailing Telephone | 7084848400 |
Mailing Fax Number | 7084848426 |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-26 |
Authorized Official Name | DR. HOWARD OZER (SECTION CHIEF OF HEMATOLOGY/ONCOLOG) |
Authorized Official Telephone | 3124133547 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | N/A | IL | Ambulatory Health Care Facilities |
Street Address |
6801 34TH ST SUITE 107 |
City | BERWYN |
State | IL |
Zip Code | 60402-5591 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023019197 | Kurubarahalli R Saroja | Radiology | 6801 34th St, Berwyn, IL 60402-5591 | 2005-08-10 |
1770958985 | Vhs of Illinois Inc | General Acute Care Hospital | 6801 34th St, Suite 107, Berwyn, IL 60402-5591 | 2015-12-14 |
1932289444 | E Plus Healthcare Xv, LLC | Clinic/Center | 6801 34th St, Suite 105, Berwyn, IL 60402-5473 | 2006-10-17 |
1801829395 | Nomc/macneal Radiation Therapy Joint Venture, LLC | Radiology | 6801 34th St, Berwyn, IL 60402-5591 | 2006-07-08 |
1194702795 | John Berry | Internal Medicine | 6801 34th St, Suite 107, Berwyn, IL 60402-5591 | 2005-12-27 |
1871594945 | Anantha Krishna Murthy | Radiology | 6801 34th St, Berwyn, IL 60402-5591 | 2005-08-10 |
1982605036 | Dennis Lee Galinsky | Radiology | 6801 34th St, Berwyn, IL 60402-5591 | 2005-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
Find all providers in zip 60402 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285878801 | Taylor Medical Center S.c. | Clinic/Center | 3223 South Harlem Ave, Berwyn, IL 60402 | 2009-04-27 |
1073092359 | Loretto Hospital | Clinic/Center | 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 | 2018-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.