ILLINOIS PROTON CENTER LLC (NPI# 1972824142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972824142 |
| Entity Type | Organization |
| Organization Name | ILLINOIS PROTON CENTER LLC |
| Other Organization Name | NORTHWESTERN MEDICINE CHICAGO PROTON CENTER |
| Practice Address |
4455 Weaver Pkwy Warrenville IL 60555-3269 |
| Mailing Address |
Po Box 871792 Kansas City MO 64187-1792 |
| Practice Telephone | 6308216400 |
| Practice Fax Number | 6308216474 |
| Mailing Telephone | 6308216400 |
| Mailing Fax Number | 6308216474 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-03-22 |
| Authorized Official Name | MR. ANDREW C PALUMBO (PRESIDENT) |
| Authorized Official Telephone | 6309335510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwestern Medicine Chicago Proton Center | Doing Business As Name - Organization |
| Street Address |
4455 WEAVER PKWY |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574881 | William F Hartsell | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2005-10-31 |
| 1679196125 | Jarrod Alan Walters | Radiologic Technologist | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2020-05-19 |
| 1598175531 | Adil Akthar | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555-3269 | 2014-04-29 |
| 1598031205 | Stephen Andrew Mihalcik | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555 | 2012-03-27 |
| 1164680393 | Preeti K Parhar | Radiology | 4455 Weaver Pkwy, Warrenville, IL 60555 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194220897 | South Campus Partners, Inc. | Clinic/Center | 15300 West Ave Bldg A, Orland Park, IL 60462-4600 | 2018-03-26 |
| 1316202344 | Skan LLC | Clinic/Center | 3425 Drew Avenue, Suite A, Sandwich, IL 60548-2351 | 2012-07-05 |
| 1144327487 | Northern Illinois University | Clinic/Center | Kirk and Pine Rd, Batavia, IL 60510 | 2006-09-20 |
| 1134233950 | Bharat S Jailwala | Clinic/Center | 846 Dundee Ave, Elgin, IL 60120-3068 | 2006-08-18 |
| 1407818644 | Freeport Regional Health Care Services | Clinic/Center | 1163 W Stephenson St, Freeport, IL 61032-4866 | 2006-04-04 |
| 1497314462 | Highland Oncology, Ltd | Clinic/Center | 208 Flax Dr, Highland, IL 62249-1375 | 2019-06-12 |
| 1750401196 | American Cancer Center | Clinic/Center | 846 Dundee Ave, Elgin, IL 60120-3068 | 2007-03-30 |
| 1952477028 | Mt Vernon Radiation Therapy Center | Clinic/Center | 4117 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-11-28 |
| 1720185150 | Morris Hospital | Clinic/Center | 1600 W Us Route 6, Morris, IL 60450 | 2006-09-20 |
| City | WARRENVILLE |
| Zip Code | 60555 |
Please comment or provide details below to improve the information on ILLINOIS PROTON CENTER LLC.
| 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.