Suburban Radiation Oncology SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUBURBAN RADIATION ONCOLOGY SC

Practice address

3900 W. Burke Drive
Olympia Fields, IL 60461

Phone

(708) 747-4900

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mir J. Shah, MD

Title

President

Phone

(708) 747-4900

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geetha Narasimhan, MD

  • Specialist
  • Olympia Fields, IL
  • NPI 1427185172
  NPD (past)
• Abdul Waheed Khan, MD

  • Specialist
  • Crown Point, IN
  • NPI 1679509442
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1306852272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604610226",
            "telephone_number": "708-482-4949",
            "fax_number": "708-482-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W. BURKE DRIVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-747-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN RADIATION ONCOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-747-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lincoln Stephen, DO
• Catherine Sternberg
• Nicole Stotts, PT, DPT, GCS, CEEAA
• Florian A Stroie, DO
• Aswath Subram, M.D.
• Suburban Visiting Physicians Group, LLC
• Kristen Sullivan
• Dymond Sulyman, NP
• Summerset Dental Care
• Ravi K Sundaram, D.O.

• Specialist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.