ILLINOIS PROTON CENTER LLC NPI 1972824142

NPI Information

  • NPI: 1972824142
  • Provider Name: ILLINOIS PROTON CENTER LLC
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • :
  • CLIA Number: 14D1044624
  • Address: 4455 WEAVER PKWY
    WARRENVILLE, IL
    ZIP 60555
  • Phone: (630) 821-6400

Map and Directions

Get Directions

NPI Details

ILLINOIS PROTON CENTER LLC is an oncology and radiation clinic center in Warrenville, IL. ILLINOIS PROTON CENTER LLC NPI is 1972824142. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4455 WEAVER PKWY
WARRENVILLE, IL
ZIP 60555-269
Phone: (630) 821-6400
Fax: (630) 821-6474

The provider's authorized official is Michael Mullen .
The authorized official title is Vp, Hospital Revenue Cycle, Nmhc and has the following contact phone number (630) 938-6076.

The CLIA number assigned to this NPI record is 14D1044624 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Complex proton beam radiation treatment (HCPCS:77525)
  • Simple proton beam radiation treatment with compensation (HCPCS:77522)
  • Intermediate proton beam radiation treatment (HCPCS:77523)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • High precision radiation therapy planning (HCPCS:77301)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Injection of biodegradable material next to prostate (HCPCS:55874)
  • Special radiation treatment (HCPCS:77470)
  • Special medical radiation therapy consultation (HCPCS:77370)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • 3d radiation therapy planning (HCPCS:77295)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)

The enumeration date for this NPI number is 6/22/2010 and was last updated on 2/12/2025.

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
1261QX0203XClinic/CenterOncology, RadiationYes

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

NPI Synchronization or Removal

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.