METRO CHICAGO SURGICAL ONCOLOGY, LLC (NPI# 1629495114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629495114 |
| Entity Type | Organization |
| Organization Name | METRO CHICAGO SURGICAL ONCOLOGY, LLC |
| Other Organization Name | MSCO DIAGNOSTIC CENTER |
| Practice Address |
3201 Old Glenview Rd Sutie 120 Wilmette IL 60091-2999 |
| Practice Telephone | 8475121860 |
| Practice Fax Number | 8475121850 |
| Mailing Telephone | 8475121860 |
| Mailing Fax Number | 8475121850 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | PAULA MATEO (PRACTICE MANAGER) |
| Authorized Official Telephone | 8476736505 |
| Authorized Official Credential | CMM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
9260112 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MSCO Diagnostic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366782583 | Metro Chicago Surgical Oncology, LLC | Clinical Medical Laboratory | 3201 Old Glenview Rd, Suite 205, Wilmette, IL 60091-2999 | 2013-02-25 |
| Street Address |
3201 OLD GLENVIEW RD SUTIE 120 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487088 | Neil R Friedman | Urology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 | 2006-04-20 |
| 1366782583 | Metro Chicago Surgical Oncology, LLC | Clinical Medical Laboratory | 3201 Old Glenview Rd, Suite 205, Wilmette, IL 60091-2999 | 2013-02-25 |
| 1043501448 | Metro Chicago Surgical Oncology LLC | Obstetrics & Gynecology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2999 | 2011-04-20 |
| 1356456859 | Allen M Chernoff | Urology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730262312 | Advocate Health and Hospitals Corporation | Clinic/Center | 114 Skokie Blvd, Wilmette, IL 60091-3050 | 2006-10-24 |
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|---|---|---|---|---|
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| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
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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.