Active NPI
Advanced Medical Therapy LLC
- Radiation Oncology Physician
- Streator, IL
National Provider Identifier
1144652199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- ADVANCED MEDICAL THERAPY LLC
- Practice address
- 614 S Bloomington St
Streator, IL 61364-3306 - Phone
- (815) 672-5900
- NPI assigned
- Aug 1, 2013
- Last updated
- Aug 1, 2013
- 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
- Christian B Schwartz, MD
- Title
- Medical Director
- Phone
- (815) 664-5367
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Urology Physician | 208800000X |
Addresses
Primary practice location
614 S Bloomington St
Streator, IL 61364-3306
Mailing address
614 S Bloomington St
Streator, IL 61364-3306
Phone (815) 672-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Spring Valley, IL
- NPI 1124085758
-
- Urology Physician
- Utica, IL
- NPI 1851349435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1144652199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 S BLOOMINGTON ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613643306",
"telephone_number": "815-672-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 S BLOOMINGTON ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613643306",
"telephone_number": "815-672-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "815-664-5367",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.