Organization Active NPI

Hi Tech Radiation Oncology S.C.

  • Radiation Oncology Physician
  • Ottawa, IL
National Provider Identifier
1104013176
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036063005 Issued in IL
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

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Jyoti S Kalra, M.D.NPI 1619079670
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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.