JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD (NPI# 1760621833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760621833 |
| Entity Type | Organization |
| Organization Name | JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD |
| Practice Address |
500 Remington Blvd Bolingbrook IL 60440-4906 |
| Mailing Address |
2614 W Jefferson St Joliet IL 60435-6433 |
| Practice Telephone | 8157238939 |
| Practice Fax Number | 8157238995 |
| Mailing Telephone | 8157251355 |
| Mailing Fax Number | 8157259861 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |
| Authorized Official Name | SARODE PUNDALEEKA (PRESIDENT) |
| Authorized Official Telephone | 8157251355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036052030 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036052030 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036052030 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036052030 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 09919437 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902030661 | Joliet Oncology Hematology Associates Ltd | Radiology | 3825 Highland Ave, # 2l,tower 1, Downers Grove, IL 60515-1552 | 2009-05-11 |
| 1265680789 | Joliet Oncology Hematology Associates Ltd | Internal Medicine | 701 Winthrop Ave, Glendale Heights, IL 60139-1405 | 2008-09-09 |
| 1952498628 | Joliet Oncology Hematology Associates Ltd | Radiology | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2006-10-06 |
| Street Address |
500 REMINGTON BLVD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087489 | Joyal Pape | Specialist | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2006-05-08 |
| 1245849868 | Christina Yuen | Physical Therapist | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2020-07-29 |
| 1194285213 | Ceres Kangou | Nurse Practitioner | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2019-03-24 |
| 1013372440 | Adventist Bolingbrook Hospital | Psychiatric Unit | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2015-12-30 |
| 1386015642 | Adventist Bolingbrook Hospital | Orthopaedic Surgery | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2015-10-13 |
| 1003150962 | Illinois Emergency Medicine Specialists, LLC | Emergency Medicine | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2012-11-16 |
| 1285917641 | Sona Yogesh Aquiline | Registered Nurse | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-09-22 |
| 1336436203 | Anas Elshafei | Internal Medicine | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-06-29 |
| 1205120706 | Adventist Bolingrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-06-02 |
| 1184923260 | Adventist Bolingbrook Hospital | Pharmacy | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1972616530 | Leela N Rao | Internal Medicine | 420 S Schmidt Rd, Suite 230, Bolingbrook, IL 60440-4925 | 2006-08-17 |
| 1205246626 | Adventist Health Partners, Inc. | Internal Medicine | 420 Remington Blvd, Ste 230, Bolingbrook, IL 60440-4925 | 2014-05-07 |
| 1982942306 | Illinois Cancer Specialists | Internal Medicine | 396 Remington Blvd, Ste 141, Bolingbrook, IL 60440-4302 | 2013-01-18 |
| 1699090852 | Joliet Oncology Hematology Assoc Ltd | Internal Medicine | 420 Remington Blvd, Suite 230, Bolingbrook, IL 60440 | 2010-03-31 |
| 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 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD.
| 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.