COOK COUNTY RADIATION ONCOLOGY, SC (NPI# 1437391752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437391752 |
Entity Type | Organization |
Organization Name | COOK COUNTY RADIATION ONCOLOGY, SC |
Practice Address |
7531 S Stony Island Ave Basement Chicago IL 60649-3954 |
Mailing Address |
3400 N Lake Shore Dr Unit 9-b Chicago IL 60657-2827 |
Practice Telephone | 7739477850 |
Practice Fax Number | 7739477852 |
Mailing Telephone | 7739477850 |
Mailing Fax Number | 7739477852 |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-16 |
Authorized Official Name | NATHANIEL O. HOLLOWAY (CHAIRMAN) |
Authorized Official Telephone | 7739477850 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036-073542 | IL | Allopathic & Osteopathic Physicians |
Street Address |
7531 S STONY ISLAND AVE BASEMENT |
City | CHICAGO |
State | IL |
Zip Code | 60649-3954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
1760089718 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-10-02 |
1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
1487279824 | Nsisongikanabasi Mfon Udoh | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-11 |
1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
Find all providers in zip 60649 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
1932466208 | Thomas Kim | Radiology | 500 S Paulina St., Ground Floor Atrium 013, Chicago, IL 60612 | 2012-04-11 |
1215238308 | Michelle S Gentile | Radiology | 251 E Huron St # Lc-178, Chicago, IL 60611-2908 | 2010-11-05 |
1679747521 | Dr. Thakrar Associates M.d.;s.c. | Radiology | 161 E Chicago Ave Apt 52b, Chicago, IL 60611-6684 | 2008-04-22 |
1528239217 | Jonathan Blake Strauss | Radiology | 250 E Superior St Ste Lc-2101, Chicago, IL 60611-2914 | 2008-03-20 |
1063607125 | Alliance Oncology LLC | Radiology | 15055 Collection Center Dr, Chicago, IL 60693-0150 | 2007-09-12 |
Find all providers in CHICAGO |
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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.