Inter-Community Radiation Oncology SC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

INTER-COMMUNITY RADIATION ONCOLOGY SC

Practice address

17750 Kedzie Ave
Hazel Crest, IL 60429-2047

Phone

(708) 799-9995

Fax

(708) 799-8129

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jayant V Ginde, MDNPI 1760464390

Title

Officer

Phone

(708) 799-9995

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Suburban Cancer Center Other name

Practitioners 3

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

• Jayant V Ginde, MD

  • Radiation Oncology Physician
  • Oak Lawn, IL
  • NPI 1760464390
  NPD (past) Authorized official
• Ham Nyung Lee, MD

  • Radiation Oncology Physician
  • Oak Lawn, IL
  • NPI 1316929177
  NPD (past)
• John David Morgan III, MD

  • Radiation Oncology Physician
  • Oak Lawn, IL
  • NPI 1982686655
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1093796336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160040",
            "telephone_number": "812-962-6413",
            "fax_number": "812-471-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 KEDZIE AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292047",
            "telephone_number": "708-799-9995",
            "fax_number": "708-799-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER-COMMUNITY RADIATION ONCOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GINDE",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-799-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CM3780",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0031603263",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Suburban Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ican Dream Center NFP
• Ijg Transportation L.L.C.
• Syed Haider M Imam
• Imperial Manor of Hazel Crest, LLC
• Imperial of Hazel Crest
• Isd Renal Inc (Hazel Crest Renal Center)
• Amy Kathleen Jackson, A.T.C.
• Petrina Jackson, DC
• Candice Joy Jager, P.T.
• Anita Jamison

• Radiation Oncology Physician in Hazel Crest, IL
• Providers in Hazel Crest, 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 Jun 20, 2008; 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.