MIDWEST SURGERY AND ONCOLOGY CONSULTANTS LLC (NPI# 1235663782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235663782 |
| Entity Type | Organization |
| Organization Name | MIDWEST SURGERY AND ONCOLOGY CONSULTANTS LLC |
| Practice Address |
301 Madison St Ste 302 Joliet IL 60435-6995 |
| Mailing Address |
1435 Kallien Ave. Naperville IL 60540 |
| Practice Telephone | 8155823177 |
| Practice Fax Number | 8155823754 |
| Mailing Telephone | 4025477009 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. BHAVIN CHANDRAKANT SHAH (CEO/ PRESIDENT) |
| Authorized Official Telephone | 8155823177 |
| Authorized Official Credential | MBBS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036.138823 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036.138823 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036138823 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 Madison St, Joliet, IL 604358200 | 8157257133 | |
| 12251 S 80th Ave, Palos Heights, IL 604631256 | 7089234000 | |
| 1900 Silver Cross Blvd, New Lenox, IL 604519509 | 8153001100 |
| Street Address |
301 MADISON ST STE 302 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078910 | Bhavin Chandrakant Shah | Surgery | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2009-08-14 |
| 1831710276 | Robin Marie Spatola | Nurse Practitioner | 301 Madison St Ste 302, Joliet, IL 60435-6995 | 2020-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760868871 | Presence Central and Suburban Hospitals Network | Surgery | 333 Madison St, Joliet, IL 60435-8200 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205093697 | Myles P Cunningham | Surgery | 31 Woodley Road, Winnetka, IL 60093 | 2008-05-22 |
| 1225237704 | Roger Hoon Kim | Surgery | 315 W Carpenter St Fl C2, Springfield, IL 62702-4901 | 2007-07-13 |
| 1033162839 | Mark M. Connolly | Surgery | 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 | 2006-05-19 |
| 1942272968 | Charles K Brown | Surgery | 5201 Willow Springs Rd Ste 290, La Grange Highlands, IL 60525-6506 | 2006-02-03 |
| 1114913225 | Thomas H Tarter | Surgery | 210 W Mckinley Ave Ste 1, Decatur, IL 62526-5858 | 2005-09-23 |
| 1396739280 | Sonya M Sharpless | Surgery | 660 N Westmoreland Rd Ste 303, Lake Forest, IL 60045-1659 | 2005-09-07 |
| 1588662928 | Swati Kulkarni | Surgery | 250 E Superior St, Suite 420, Chicago, IL 60611-2914 | 2005-07-11 |
| 1235424656 | Fadi Suhail Dahdaleh | Surgery | 5841 S. Maryland Avenue, M/c 6040, Chicago, IL 60637 | 2011-06-14 |
| 1396062253 | Akhil Chawla | Surgery | 4405 Weaver Pkwy, Warrenville, IL 60555-3269 | 2010-04-30 |
| 1245556406 | Oliver S. Eng | Surgery | 5841 S Maryland Ave # Mc5094, Chicago, IL 60637-1443 | 2010-04-13 |
| 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.