Provider Type Icon

JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD NPI 1902030661


NPI Information

NPI: 1902030661
Provider Name: JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3825 HIGHLAND AVE
# 2L,TOWER 1
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 663-0061
Get Directions

JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD is a hematology and oncology internal medicine in Downers Grove, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD NPI is 1902030661. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3825 HIGHLAND AVE
# 2L,TOWER 1
DOWNERS GROVE, IL
ZIP 60515-552
Phone: (630) 663-0061
Fax: (815) 723-8995

The provider's authorized official is Sarode K Pundaleeka .
The authorized official title is President and has the following contact phone number (815) 725-1355.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear Radiology036052030ILLINOISNo
22085R0001XRadiologyRadiation Oncology036052030ILLINOISNo
32085R0202XRadiologyDiagnostic Radiology036052030ILLINOISNo
4207RH0003XInternal MedicineHematology & Oncology036052030ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208256MEDICARE PINILLINOIS
20750540001MEDICARE NSCILLINOIS
3205474MEDICARE PINILLINOIS
409919437OTHERILLINOISBCBS
5336140MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.