MIDWEST ONCOLOGY HEMATOLOGY LTD (NPI# 1477691640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477691640 |
Entity Type | Organization |
Organization Name | MIDWEST ONCOLOGY HEMATOLOGY LTD |
Practice Address |
1600 N Randall Rd Ste. 115 Elgin IL 60123-2306 |
Mailing Address |
1600 N Randall Rd Ste. 115 Elgin IL 60123-7803 |
Practice Telephone | 8477176860 |
Practice Fax Number | 8477176872 |
Mailing Telephone | 8477176860 |
Mailing Fax Number | 8477176872 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2014-01-23 |
Authorized Official Name | THOMAS LEQUN CAO (OWNER) |
Authorized Official Telephone | 8477176860 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036098274 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS OF IL | 04528012 | 01 |
Street Address |
1600 N RANDALL RD STE. 115 |
City | ELGIN |
State | IL |
Zip Code | 60123-2306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336219682 | Karen C Catching | Internal Medicine | 1600 N Randall Rd, Elgin, IL 60123-7803 | 2006-11-08 |
1598218125 | Bailey Ellington | Nurse Practitioner | 1600 N Randall Rd, 400, Elgin, IL 60123-7803 | 2016-08-01 |
1578935896 | Jenny Brophy | Physician Assistant | 1600 N Randall Rd, Suite 400, Elgin, IL 60123-7803 | 2015-10-26 |
1306263561 | Andrew J Thompson | Dermatology | 1600 N Randall Rd, Suite 400, Elgin, IL 60123 | 2014-03-26 |
1508288549 | Suburban Orthopaedics | Orthopaedic Surgery | 1600 N Randall Rd, Elgin, IL 60123-7803 | 2014-01-10 |
1063737658 | Suburban Orthopaedics | Orthopaedic Surgery | 1600 N Randall Rd, Elgin, IL 60123-7800 | 2010-04-07 |
1851557102 | Margaret H Fruhbauer | Internal Medicine | 1600 N Randall Rd, Suite 115, Elgin, IL 60123-7803 | 2008-08-05 |
1942473947 | Stefanie A Ali | Dermatology | 1600 N Randall Rd, Suite 400, Elgin, IL 60123 | 2008-04-10 |
1467624528 | Jennifer R Hensley | Dermatology | 1600 N Randall Rd, Suite 400, Elgin, IL 60123 | 2008-03-28 |
1295923191 | Heritage Primary Care, S.c. | Internal Medicine | 1600 N Randall Rd, Suite 155, Elgin, IL 60123-7803 | 2007-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194797266 | Thomas L. Cao | Internal Medicine | 1435 North Randall Road, Suite 402, Elgin, IL 60123 | 2006-02-03 |
1538156732 | Syed Aslam Zahir | Internal Medicine | 1710 N. Randall Rd, Suite 300, Elgin, IL 60123 | 2005-10-03 |
1295952596 | Veerpal Singh | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9405 | 2007-04-19 |
1861468100 | Apurva A Desai | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2006-02-27 |
1518954890 | Chilakamarri Yeshwant | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
1043207251 | Rajini Manjunath | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
1255328464 | Illinois Cancer Specialists | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
1568459774 | Stanley Nabrinsky | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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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.