NPIMap

Organization Active NPI

The University of Chicago Medical Center

  • Radiation Oncology Clinic/Center
  • Crown Point, IN
National Provider Identifier
1174200174
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Practice address
10855 Virginia St Ste 2100
Crown Point, IN 46307-0210
Phone
(999) 999-9999
NPI assigned
Jun 30, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF CHICAGO MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Nicole Lynn Fountain
Title
VP Revenue Cycle
Phone
(773) 834-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X NU Primary

Addresses

Primary practice location

10855 Virginia St Ste 2100
Crown Point, IN 46307-0210

Mailing address

150 Harvester Dr RM Suite300
Burr Ridge, IL 60527-5919

National Provider Directory

National Provider Directory
Tax ID family
Univ Chicago Hospitals16 organizations share this tax ID, including this one
Part of
Univ Chicago Hospitals

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

10855 Virginia St
#1100
Crown Point, IN 46307

10855 Virginia St
#2100
Crown Point, IN 46307

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1174200174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR RM SUITE300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 VIRGINIA ST STE 2100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070210",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF CHICAGO MEDICAL CENTER",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "FOUNTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "773-834-5895"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.