Central Illinois Radiation Oncology Physicians, LTD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD

Practice address

221 NE Glen Oak Ave
Peoria, IL 61636-0001

Phone

(309) 672-5700

Fax

(309) 671-2774

NPI assigned

Jun 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Revathi Swaminathan, M.D.

Title

Owner

Phone

(309) 671-8749

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Matthew Wilkins, M.D.

  • Specialist
  • Galesburg, IL
  • NPI 1255429494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1003857061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SW MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021107",
            "telephone_number": "309-671-8749",
            "fax_number": "309-671-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5700",
            "fax_number": "309-671-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SWAMINATHAN",
        "authorized_official_first_name": "REVATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-671-8749",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "DE7037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Illinois Friends of Pwa, Inc. (Central Illinois Friends)
• Central Illinois Friends of Pwa, Inc.
• Central Illinois Nerve Testing LTD
• Central Illinois Pathology, SC
• Central Illinois Preventive Services LLC
• Central Illinois Radiological Associates, LTD. (Central Illinois Radiological Associates)
• Central Illinois Rehabilitation Associates Inc SC
• Dexter Cervantes, O.T.
• Shinymol John Chacko, MD
• Amitoj Singh Chadha, MBBS

• Radiation Oncology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.