Individual provider Active NPI

Isoken Koko, MD

  • Hematology & Oncology Physician
  • River Forest, IL
National Provider Identifier
1265465728
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036100278 Issued in IL
Practice address
7420 W Central
Center for Cancer Care
River Forest, IL 60305-1800
Phone
(708) 763-2700
Fax
(708) 488-9660
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036100278 IL Primary

Addresses

Primary practice location

7420 W Central
Center for Cancer Care
River Forest, IL 60305-1800

Mailing address

8961 Enclave Dr
Burr Ridge, IL 60527-8394
Phone (630) 794-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000725 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4587627252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7420 Central Ave
River Forest, IL 60305-1800
Phone (708) 763-2700

Hospital & facility affiliations

  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Insight Hospital and Medical Center Chicago Hospital, Chicago, IL, CCN 140158
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cancer Care Associates Corp Hematology & Oncology CurrentSince Nov 1, 2024 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jan 29, 2019 Accepting new patients
West Suburban Medical Center Past Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490

7420 Central Ave
River Forest, IL 60305
Phone (708) 763-2700

Interoperability endpoints

  • Direct secure messaging: isoken.koko.1@18552.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1265465728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 ENCLAVE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278394",
            "telephone_number": "630-794-9475",
            "fax_number": "708-488-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 W CENTRAL",
            "address_2": "CENTER FOR CANCER CARE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051800",
            "telephone_number": "708-763-2700",
            "fax_number": "708-488-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKO",
        "first_name": "ISOKEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036100278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.