NPIMap

Organization Active NPI

Ultimate Care Oncology

  • Medical Oncology Physician
  • Chicago, IL
National Provider Identifier
1184859183
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
ULTIMATE CARE ONCOLOGY
Practice address
5611 W Belmont Ave
Chicago, IL 60634-5302
Phone
(773) 770-6400
Fax
(773) 385-5375
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mr. Ahmad Jajeh, M.D.
Title
Oncology & Hematology
Phone
(773) 770-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0000X
Medical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

5611 W Belmont Ave
Chicago, IL 60634-5302

Mailing address

5611 W Belmont Ave
Chicago, IL 60634-5302
Phone (773) 770-6400

Other identifiers 1

IdentifierTypeStateIssuer
036082665MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1184859183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345302",
            "telephone_number": "773-770-6400",
            "fax_number": "773-385-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345302",
            "telephone_number": "773-770-6400",
            "fax_number": "773-385-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "JAJEH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "ONCOLOGY & HEMATOLOGY",
        "authorized_official_telephone_number": "773-770-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082665",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.