Active NPI
Hi Tech Radiation Oncology S.C.
- Radiation Oncology Physician
- Ottawa, IL
National Provider Identifier
1104013176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036063005
- Legal business name
- HI TECH RADIATION ONCOLOGY S.C.
- Practice address
- 601 W Norris Dr Ste B
Ottawa, IL 61350-1381 - Phone
- (815) 431-1800
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jyoti S Kalra, M.D.
- Title
- President
- Phone
- (815) 431-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 036063005 | IL | Primary |
Addresses
Primary practice location
601 W Norris Dr Ste B
Ottawa, IL 61350-1381
Mailing address
42 S Royal Oaks Dr
Bristol, IL 60512-9705
Phone (815) 431-1800
National Provider Directory
National Provider DirectoryLocations
601 W Norris Dr
Ste B
Ottawa, IL 61350
Phone (815) 431-1800
104 W 6th St
Ste 200
Streator, IL 61364
Phone (815) 672-2329
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Therapeutic Radiology Physician
- Aurora, IL
- NPI 1619079670
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1104013176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 S ROYAL OAKS DR",
"city": "BRISTOL",
"state": "IL",
"postal_code": "605129705",
"telephone_number": "815-431-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W NORRIS DR STE B",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613501381",
"telephone_number": "815-431-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HI TECH RADIATION ONCOLOGY S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "KALRA",
"authorized_official_first_name": "JYOTI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-431-1800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036063005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.