Organization Active NPI

Radiation Oncology, S.C.

  • Radiation Oncology Physician
  • Tinley Park, IL
National Provider Identifier
1154369643
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
042002397 Issued in IL
Legal business name
RADIATION ONCOLOGY, S.C.
Practice address
17333 La Grange Rd Ste 100
Tinley Park, IL 60487-7510
Phone
(708) 748-9918
Fax
(708) 448-7530
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Syed Javed Shirazi, M.D.
Title
President
Phone
(708) 448-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 042002397 IL Primary

Addresses

Primary practice location

17333 La Grange Rd Ste 100
Tinley Park, IL 60487-7510

Mailing address

17333 La Grange Rd Ste 100
Tinley Park, IL 60487-7510
Phone (708) 748-9918

Other identifiers 2

IdentifierTypeStateIssuer
1615960OtherILBLUE CROSS & BLUE SHIELD
CM3238OtherILPALMETTO GBA-RR MEDICARE

National Provider Directory

National Provider Directory

Locations

3900 W 203rd St
Olympia Flds, IL 60461
Phone (708) 478-7437

Practitioners & affiliated clinicians

Practitioners 4

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1154369643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD STE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-748-9918",
            "fax_number": "708-448-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD STE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-748-9918",
            "fax_number": "708-448-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "SYED JAVED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-448-9393",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "042002397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "1615960",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "CM3238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.