METRO CHICAGO SURGICAL ONCOLOGY, LLC (NPI# 1366782583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366782583 |
| Entity Type | Organization |
| Organization Name | METRO CHICAGO SURGICAL ONCOLOGY, LLC |
| Practice Address |
3201 Old Glenview Rd Suite 205 Wilmette IL 60091-2999 |
| Practice Telephone | 8476736505 |
| Practice Fax Number | 8476732099 |
| Mailing Telephone | 8476736505 |
| Mailing Fax Number | 8476732099 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | PAULA MATEO (OFFICE MANAGER) |
| Authorized Official Telephone | 18476736505 |
| Authorized Official Credential | CMM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 036111584 | IL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 036111584 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495114 | Metro Chicago Surgical Oncology, LLC | Clinic/Center | 3201 Old Glenview Rd, Sutie 120, Wilmette, IL 60091-2999 | 2014-03-24 |
| Street Address |
3201 OLD GLENVIEW RD SUITE 205 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487088 | Neil R Friedman | Urology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 | 2006-04-20 |
| 1629495114 | Metro Chicago Surgical Oncology, LLC | Clinic/Center | 3201 Old Glenview Rd, Sutie 120, Wilmette, IL 60091-2999 | 2014-03-24 |
| 1043501448 | Metro Chicago Surgical Oncology LLC | Obstetrics & Gynecology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2999 | 2011-04-20 |
| 1356456859 | Allen M Chernoff | Urology | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.