NPIMap

Organization Active NPI

Ctca Physicians Group of Illinois, Inc

  • Medical Oncology Physician
  • Chicago, IL
National Provider Identifier
1073015236
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
CTCA PHYSICIANS GROUP OF ILLINOIS, INC
Practice address
160 E Illinois St
Chicago, IL 60611-5426
Phone
(847) 746-4333
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Neetu Masuta
Title
Chief Accounting Officer
Phone
(847) 342-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

160 E Illinois St
Chicago, IL 60611-5426

Mailing address

PO Box 74008983
Chicago, IL 60674-0001

Other practice location 1

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Other practice location 2

9300 Waukegan Rd
Morton Grove, IL 60053-1312
Phone (847) 675-3900

Other names 1

  • Outpatient Care Center Downtown Chicago Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcazionclinic@ctca.allscriptsdirect.net Direct

National Provider Directory

National Provider Directory

Locations

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1073015236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008983",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ILLINOIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115426",
            "telephone_number": "847-746-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Elisha Ave",
            "address_purpose": "LOCATION",
            "city": "Zion",
            "state": "IL",
            "postal_code": "600992676",
            "country_code": "US",
            "telephone_number": "847-872-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600531312",
            "country_code": "US",
            "telephone_number": "847-675-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTCA PHYSICIANS GROUP OF ILLINOIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MASUTA",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "847-342-6978"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcazionclinic@ctca.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "160 E Illinois St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606115426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Outpatient Care Center Downtown Chicago",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.