CHICAGO RADIATION ONCOLOGY S.C. NPI 1487606315

NPI Information

  • NPI: 1487606315
  • Provider Name: CHICAGO RADIATION ONCOLOGY, S.C.
  • Classification: Radiology - 2085R0203X
  • Specialization: Therapeutic Radiology
  • Entity Type: Organization
  • Address: 2839 S ELLIS AVE
    MR-148
    CHICAGO, IL
    ZIP 60616
  • Phone: (312) 842-9600

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NPI Details

CHICAGO RADIATION ONCOLOGY, S.C. is a therapeutic radiology radiology in Chicago, IL. The provider is therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology. CHICAGO RADIATION ONCOLOGY, S.C. NPI is 1487606315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2839 S ELLIS AVE
MR-148
CHICAGO, IL
ZIP 60616-906
Phone: (312) 842-9600
Fax: (312) 842-9679

The provider's authorized official is Dean Mohammad Ameen .
The authorized official title is Owner and has the following contact phone number (312) 842-7309.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 4/13/2009.

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
12085R0203XRadiologyTherapeutic Radiology036045136ILLINOISYes

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
1C42583/F19584/D88651MEDICARE UPINILLINOIS
2921520MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/21/2025

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