RADIANT ONCOLOGY SC (NPI# 1811475379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811475379 |
| Entity Type | Organization |
| Organization Name | RADIANT ONCOLOGY SC |
| Practice Address |
77 N Airlite St Elgin IL 60123-4912 |
| Mailing Address |
Po Box 734064 Chicago IL 60673-4064 |
| Practice Telephone | 8479315520 |
| Mailing Telephone | 8778399517 |
| Mailing Fax Number | 8778209627 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | BRYAN D MACRIE (PRESIDENT) |
| Authorized Official Telephone | 8479315520 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
77 N AIRLITE ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579991 | Lori D Mager | Dietitian, Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2006-04-21 |
| 1821641499 | Cep America - Illinois Intensivists, LLP | Internal Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-07-22 |
| 1215598743 | Victoria Rosinski | Nurse Anesthetist, Certified Registered | 77 N Airlite St, Elgin, IL 60123-4912 | 2019-06-25 |
| 1740778034 | Kelly Filip | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-04-23 |
| 1619485372 | Rachael Marie Rochocki | Speech-Language Pathologist | 77 N Airlite St, Elgin, IL 60123-4912 | 2018-01-16 |
| 1992239974 | Keith Michael Solvang | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2017-04-17 |
| 1639613623 | Larisa Shturmak | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-12-09 |
| 1861949034 | Priya V. Patel | Physician Assistant | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-09-06 |
| 1841745478 | Cep America - Illinois, LLP | Emergency Medicine | 77 N Airlite St, Elgin, IL 60123-4912 | 2016-08-24 |
| 1932504149 | Emily Jayn Pfeiffer | Nurse Practitioner | 77 N Airlite St, Elgin, IL 60123-4912 | 2014-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861669020 | Suisui Song | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2008-05-15 |
| 1033134606 | Midwest Radiation Oncology Consultants Ltd | Radiology | 77 N Airlite Street, Elgin, IL 60123 | 2006-07-13 |
| 1003841289 | Jeffrey P Shafer | Radiology | 77 N Airlite Street, Elgin, IL 60123 | 2006-07-12 |
| 1548295728 | Geoffrey L Smoron | Radiology | 77 N Airlite Street, Elgin, IL 60123 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
| 1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
| 1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
| 1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
| 1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
| 1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
| 1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
| 1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
| 1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
| 1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
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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.