Midwest Center for Cancer & Blood, SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

042-618670 Issued in IL

Legal business name

MIDWEST CENTER FOR CANCER & BLOOD, SC

Practice address

15 W Pleasant Ave
Sandwich, IL 60548-1050

Phone

(815) 786-9197

Fax

(815) 786-9199

NPI assigned

Oct 4, 2006

Last updated

Jan 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ramesh Kola, MDNPI 1275577512

Title

President

Phone

(815) 786-9197

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ramesh Kola, MD

  • Hematology & Oncology Physician
  • Sandwich, IL
  • NPI 1275577512
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1366537292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W PLEASANT AVE",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481050",
            "telephone_number": "815-786-9197",
            "fax_number": "815-786-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W PLEASANT AVE",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481050",
            "telephone_number": "815-786-9197",
            "fax_number": "815-786-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR CANCER & BLOOD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "KOLA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-786-9197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042-618670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "14D1047350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard W Mason, DO
• Christine Caitlin McCarney, MS
• Nicole M McDonald-Martinez
• Michael William Menconi, O.D.
• Michael Menconi, OD. PC. (Eyecare Center of Sandwich)
• Nicole Lee Milholland
• Amy K Milz, PT
• Kimberly S Miner, LAC
• Karissa Leeann Monney, MD
• My Urban Clinic, Inc (My Clinic)

• Clinic/Center in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.