ILLINOIS RADIATION ONCOLOGY CONSULTANTS PLLC (NPI# 1629690185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629690185 |
| Entity Type | Organization |
| Organization Name | ILLINOIS RADIATION ONCOLOGY CONSULTANTS PLLC |
| Practice Address |
208 Flax Dr Ste 100 Highland IL 62249-1396 |
| Mailing Address |
Po Box 483 Litchfield IL 62056-0483 |
| Practice Telephone | 6188825621 |
| Mailing Telephone | 2173241100 |
| Mailing Fax Number | 2173241103 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | JACQUELINE MUDD (ADMINISTRATOR) |
| Authorized Official Telephone | 2173241100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
208 FLAX DR STE 100 |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| 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 |
|---|---|---|---|---|
| 1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
| 1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
| 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 |
| 1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
| 1407118359 | Andrew Yoowon Lee | Radiology | 27750 W State Route 22 Ste G50, Barrington, IL 60010-1948 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
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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.