Active NPI
Radiation Oncology, S.C.
- Radiation Oncology Physician
- Tinley Park, IL
National Provider Identifier
1154369643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 042002397
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615960 | Other | IL | BLUE CROSS & BLUE SHIELD |
| CM3238 | Other | IL | PALMETTO GBA-RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiation Oncology Physician
- McHenry, IL
- NPI 1235163437
-
- Radiation Oncology Physician
- Evergreen Park, IL
- NPI 1366483471
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1154359289
-
- Radiation Oncology Physician
- Mishawaka, IN
- NPI 1184610602
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.