Organization Active NPI

Metro Chicago Surgical Oncology LLC

  • Clinical Medical Laboratory
  • Wilmette, IL
National Provider Identifier
1366782583
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
036111584 Issued in IL
Legal business name
METRO CHICAGO SURGICAL ONCOLOGY LLC
Practice address
3201 Old Glenview Rd
Suite 205
Wilmette, IL 60091-2999
Phone
(847) 673-6505
Fax
(847) 673-2099
NPI assigned
Feb 25, 2013
Organization subpart
Yes
Parent organization
METRO CHICAGO SURGICAL ONCOLOGY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Neil R Friedman, MD
Title
Authorized Official
Phone
(847) 673-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 036111584 IL Primary

Addresses

Primary practice location

3201 Old Glenview Rd
Suite 205
Wilmette, IL 60091-2999

Mailing address

3201 Old Glenview Rd
Suite 205
Wilmette, IL 60091-2999
Phone (847) 673-6505

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0900829Greater Chicago Urology (Dba)3201 Old Glenview Rd Ste 130, Wilmette, IL 60091Certificate of waiverJul 24, 2026
14D2030411Metro Chicago Surgical Oncology3201 Old Glenview Rd Ste 205, Wilmette, IL 60091AccreditationNov 18, 2026

National Provider Directory

National Provider Directory
Part of
Metro Chicago Surgical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1366782583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD",
            "address_2": "SUITE 205",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912999",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 OLD GLENVIEW RD",
            "address_2": "SUITE 205",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912999",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CHICAGO SURGICAL ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO CHICAGO SURGICAL ONCOLOGY LLC",
        "enumeration_date": "2013-02-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-673-6505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "036111584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.

Verify at the official NPI Registry.