NPIMap

Organization Active NPI

Affiliated Oncologists, LLC

  • Medical Oncology Physician
  • Oak Lawn, IL
National Provider Identifier
1225314362
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
AFFILIATED ONCOLOGISTS, LLC
Practice address
4400 W 95TH St
Suite 311
Oak Lawn, IL 60453-2654
Phone
(310) 335-4000
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Robert Roig
Title
VP, Managed Care and Physician Serv
Phone
(310) 335-4093

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU
Medical Oncology Physician 207RX0202X NU Primary
Radiation Oncology Physician 2085R0001X NU

Addresses

Primary practice location

4400 W 95TH St
Suite 311
Oak Lawn, IL 60453-2654

Mailing address

PO Box 10050
Manhattan Beach, CA 90267-7550
Phone (310) 335-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120620000456 IL Part B Supplier - Clinic/Group Practice 2365606563 Receives reassigned benefits from 62 practitioners
Practice locations: Palos Heights, IL; Tinley Park, IL; Orland Park, IL; Oak Lawn, IL; New Lenox, IL; Mokena, IL; Joliet, IL; Homewood, IL…
O20230516002040 IL DME Supplier - Physician - Medical Oncology 2365606563 Practice locations: Chicago Ridge, IL

National Provider Directory

National Provider Directory

Locations

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

10604 Southwest Hwy
Ste 106A
Chicago Ridge, IL 60415

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 529-0156

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1225314362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10050",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902677550",
            "telephone_number": "310-335-4000",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST",
            "address_2": "SUITE 311",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532654",
            "telephone_number": "310-335-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ONCOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP, MANAGED CARE AND PHYSICIAN SERV",
        "authorized_official_telephone_number": "310-335-4093"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.

Verify at the official NPI Registry.