SUBURBAN RADIATION ONCOLOGY SC (NPI# 1306852272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306852272 |
| Entity Type | Organization |
| Organization Name | SUBURBAN RADIATION ONCOLOGY SC |
| Practice Address |
3900 W. Burke Drive Olympia Fields IL 60461 |
| Mailing Address |
Po Box 226 Olympia Fields IL 60461-0226 |
| Practice Telephone | 7087474900 |
| Mailing Telephone | 7084824949 |
| Mailing Fax Number | 7084824949 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | DR. MIR J. SHAH (PRESIDENT) |
| Authorized Official Telephone | 7087474900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3900 W. BURKE DRIVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881954949 | Earlesian Health Concepts | Specialist | 20815 Brookside Blvd, Olympia Fields, IL 60461-1712 | 2012-05-23 |
| 1477653111 | Adrienne Fregia | Specialist | 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 | 2006-09-23 |
| 1720035009 | Mir Jafar Shah | Specialist | Comprrehensive Cancer Center, 3900 Burke Drive, Olympia Fields, IL 60461 | 2006-05-30 |
| 1194775957 | Christian Q Villasenor | Specialist | 20201 S Crawford Avenue, Olympia Fields, IL 60461-1010 | 2006-05-11 |
| 1427185172 | Geetha Narasimhan | Specialist | 3900 W 203rd St, Olympia Fields, IL 60461-1183 | 2007-02-28 |
| 1750434197 | Southwest Anesthesia Consultants, LLC | Specialist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2007-01-19 |
| 1003929175 | Toni Scott-terry | Specialist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2006-08-16 |
| 1508880287 | Arcot Dwarakanathan | Specialist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2006-07-27 |
| 1386674216 | Manuel Molina Sanchez | Specialist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2006-07-04 |
| 1023059748 | Samuel L Macagba Jr. | Specialist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2006-06-10 |
| Find all providers in OLYMPIA FIELDS | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on SUBURBAN RADIATION ONCOLOGY SC.
| 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.