Metro Chicago Surgical Oncology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036058459 Issued in IL

Legal business name

METRO CHICAGO SURGICAL ONCOLOGY LLC

Practice address

3201 Old Glenview Rd
Suite 130
Wilmette, IL 60091-2999

Phone

(847) 673-6505

Fax

(847) 673-2099

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Neil R FriedmanNPI 1164487088

Title

Authorized Official

Phone

(847) 673-6505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3164/brand/1/csg/181/fhir/r4

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Metro Chicago Surgical Oncology LLC

  • Clinical Medical Laboratory
  • Wilmette, IL
  • NPI 1366782583
  NPPES parent name
• Metro Chicago Surgical Oncology LLC

  dba MCSO Diagnostic Center

  • Radiology Clinic/Center
  • Wilmette, IL
  • NPI 1629495114
  NPPES parent name

Practitioners 25

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

• Joseph D Calandra, M.D.

  • Diagnostic Radiology Physician
  • Glenview, IL
  • NPI 1679512412
  Medicare reassignment Care Compare group NPD
• Allen M Chernoff, MD

  • Urology Physician
  • Wilmette, IL
  • NPI 1356456859
  Medicare reassignment Care Compare group NPD
• Neil R Friedman, M.D.

  • Urology Physician
  • Wilmette, IL
  • NPI 1164487088
  Medicare reassignment NPD Authorized official
• Fadi A Habib, MD

  • Urology Physician
  • Chicago, IL
  • NPI 1013963164
  Medicare reassignment Care Compare group NPD
• Timothy C Hollister, MD

  • Radiation Oncology Physician
  • Wilmette, IL
  • NPI 1669528428
  Medicare reassignment Care Compare group NPD
• John T Leyland II, MD

  • Urology Physician
  • Wilmette, IL
  • NPI 1275678740
  Medicare reassignment Care Compare group NPD
• Thomas C Malvar, MD

  • Urology Physician
  • Chicago, IL
  • NPI 1528089083
  Medicare reassignment Care Compare group NPD
• Robert Stanley Rosen, M.D.

  • Surgery Physician
  • Wilmette, IL
  • NPI 1639187719
  Medicare reassignment Care Compare group NPD
• Shahnaz Saeed, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilmette, IL
  • NPI 1548377005
  Medicare reassignment Care Compare group NPD
• Mark Jonathan Schacht, MD

  • Urology Physician
  • Evanston, IL
  • NPI 1265577621
  Medicare reassignment Care Compare group NPD
• George R Sosenko, MD

  • Urology Physician
  • Downers Grove, IL
  • NPI 1881680411
  Medicare reassignment Care Compare group NPD
• Peter Thomas Vaselopulos, MD

  • Urology Physician
  • Evanston, IL
  • NPI 1578608949
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1043501448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD",
            "address_2": "SUITE 130",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912999",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD",
            "address_2": "SUITE 130",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912999",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 W Surf Street",
            "address_2": "Ste 331",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "773-296-6110",
            "fax_number": "773-725-9554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 N Harlem Avenue",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "607071636",
            "country_code": "US",
            "telephone_number": "773-385-6069",
            "fax_number": "773-385-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO CHICAGO SURGICAL ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-673-6505"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036080243",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036058459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Mechurova
• Joanne M Medak, MA
• Melamor Therapy Services, Inc. (Making Moves)
• Catherine J Melka, LCSW
• Rachel Meriwether, LCSW, LICSW
• Metro Chicago Surgical Oncology LLC
• Metro Chicago Surgical Oncology LLC (MCSO Diagnostic Center)
• Morgan Mette
• Robin Metzler
• Mary Lynn Meyers, LCSW, MSW

• Urology Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.