SOUTH CHICAGO ONCOLOGY ASSOCIATES LLC (NPI# 1821450321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821450321 |
Entity Type | Organization |
Organization Name | SOUTH CHICAGO ONCOLOGY ASSOCIATES LLC |
Other Organization Name | ADVANCED CANCER CARE CENTER ILLINOIS |
Practice Address |
161 S Lincolnway Ste 210 North Aurora IL 60542-1660 |
Practice Telephone | 6309063700 |
Mailing Telephone | 6309063700 |
Enumeration Date | 2016-03-23 |
Last Update Date | 2019-06-18 |
Authorized Official Name | MOHAMMED T HUSSAIN (PRESIDENT) |
Authorized Official Telephone | 6309063700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036084973 | IL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Advanced Cancer Care Center Illinois | Doing Business As Name - Organization |
Street Address |
161 S LINCOLNWAY STE 210 |
City | NORTH AURORA |
State | IL |
Zip Code | 60542-1660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225123615 | Syed F Ali | Internal Medicine | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2006-10-03 |
1003463167 | Alma Delia Corona | Nurse Practitioner | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2019-08-23 |
1518524032 | Keisha D. Brown | Nurse Practitioner | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2019-05-20 |
1255738993 | Mdy Health S.c. | Internal Medicine | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2014-11-24 |
1356427256 | Mohammed Tajammul Hussain | Internal Medicine | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285289678 | Balaji LLC | Dentist | 483 Randall Crossing Lane, North Aurora, IL 60542 | 2019-08-03 |
1528521283 | Robin Ann Blondin | Speech-Language Pathologist | Fearn Elementary School, 1600 Hawksley Lane, North Aurora, IL 60542 | 2019-04-10 |
1942766894 | Taking Control | Community/Behavioral Health | 106f South Lincolnway, North Aurora, IL 60542 | 2019-02-15 |
1104399682 | Taking Control Professional Corporation | Counselor | 106 South Lincolnway, Suite A, North Aurora, IL 60542 | 2019-01-07 |
1225565575 | Sarah A Fillmore | Social Worker | 106 S. Lincolnway St, North Aurora, IL 60542 | 2017-05-17 |
1437607892 | Seyedamir Danesh Sani | Dentist | 582 Chesterfield Lane, North Aurora, IL 60542 | 2016-09-14 |
1053664151 | Breeze Counseling, Ltd | Counselor | 427 Mallard Point Dr, North Aurora, IL 60542 | 2012-10-26 |
1174778104 | 311 Lincolnway Properties | Assisted Living Facility | 311 South Lincolnway, North Aurora, IL 60542 | 2008-11-18 |
1346421468 | Bernard Stanley Smaizys | Dentist | 111 Oak Street, North Aurora, IL 60542 | 2007-11-16 |
1215131255 | Allan Clifford Katz | Dentist | 866 Hathaway Court, North Aurora, IL 60542 | 2007-06-13 |
Find all providers in zip 60542 |
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 |
---|---|---|---|---|
1356427256 | Mohammed Tajammul Hussain | Internal Medicine | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2006-10-31 |
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 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
Find all providers with the same taxonomy |
City | NORTH AURORA |
Zip Code | 60542 |
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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.