Active NPI
Alan Blaine Coon, M.D., PH.D.
- Radiation Oncology Physician
- Bourbonnais, IL
National Provider Identifier
1245496025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01067843A
- Practice address
- 200 Riverside Dr
Bourbonnais, IL 60914-4689 - Phone
- (815) 929-0010
- Fax
- (815) 929-0014
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01067843A | IN | Primary |
| Radiation Oncology Physician | 2085R0001X | 125048906 | IL |
Addresses
Primary practice location
200 Riverside Dr
Bourbonnais, IL 60914-4689
Mailing address
875 White Hawk Dr
Crown Point, IN 46307-2685
Phone (708) 366-4587
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acoon127636@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125048906 | IL | MD | Radiation Oncology Physician |
Interoperability endpoints
- acoon127636@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1245496025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 WHITE HAWK DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072685",
"telephone_number": "708-366-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVERSIDE DR",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144689",
"telephone_number": "815-929-0010",
"fax_number": "815-929-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "ALAN",
"middle_name": "BLAINE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01067843A",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "125048906",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acoon127636@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1201 S Main St",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463078481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.