JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD (NPI# 1902030661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902030661 |
| Entity Type | Organization |
| Organization Name | JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD |
| Practice Address |
3825 Highland Ave # 2l,tower 1 Downers Grove IL 60515-1552 |
| Mailing Address |
2614 W Jefferson St Joliet IL 60435-6433 |
| Practice Telephone | 6306630061 |
| Practice Fax Number | 8157238995 |
| Mailing Telephone | 8157251355 |
| Mailing Fax Number | 8157259861 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DR. SARODE K 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 |
|---|---|---|---|---|
| 1760621833 | Joliet Oncology Hematology Associates Ltd | Radiology | 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 2009-02-13 |
| 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 |
3825 HIGHLAND AVE # 2L,TOWER 1 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456186 | Mani Akkineni | Specialist | 3825 Highland Ave, Tower 1 Suite 2f, Downers Grove, IL 60515-1548 | 2005-06-10 |
| 1073065751 | Erin Colleen Erickson | Physician Assistant | 3825 Highland Ave, Tower 2 Suite 303, Downers Grove, IL 60515-1552 | 2016-10-28 |
| 1831644863 | Melissa Anne Robles | Registered Nurse | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-08-19 |
| 1649634247 | Premier Family Health and Wellness Center Inc | Family Medicine | 3825 Highland Ave, Suite 2b, Downers Grove, IL 60515-1552 | 2016-04-09 |
| 1881057917 | Diana Marie Amidei-stefanik | Nurse Practitioner | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2016-04-05 |
| 1851768337 | Kelly Ridges | Nurse Practitioner | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2015-08-31 |
| 1780088955 | Megan Rhodes | Physician Assistant | 3825 Highland Ave, Suite 306, Downers Grove, IL 60515-1552 | 2014-10-17 |
| 1952714230 | Judith Notley Burke | Social Worker | 3825 Highland Ave, Downers Grove, IL 60515-1552 | 2014-06-04 |
| 1699115360 | Kathleen Ann Miller | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| 1134569809 | Nancy Moran | Dietitian, Registered | 3825 Highland Ave, Tower 2, Suite 303, Downers Grove, IL 60515-1552 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| 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 |
|---|---|---|---|---|
| 1477658862 | Dennis Lloyd Azuma | Internal Medicine | 3745 Highland Ave Fl 2, Downers Grove, IL 60515-1584 | 2006-09-13 |
| 1528224128 | Katy H. Goldsborough | Internal Medicine | 3745 Highland Ave Fl 2, Downers Grove, IL 60515-1584 | 2008-08-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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.