Organization Active NPI

Joliet Oncology Hematology Associates LTD.

  • Medical Oncology Physician
  • Joliet, IL
National Provider Identifier
1467509711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD.
Practice address
1301 Copperfield Ave
Joliet, IL 60432-2054
Phone
(815) 723-8939
Fax
(815) 725-8995
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarode K Pundaleeka, M.D.
Title
President
Phone
(815) 725-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RX0202X IL Primary

Addresses

Primary practice location

1301 Copperfield Ave
Joliet, IL 60432-2054

Mailing address

2614 W Jefferson St
Joliet, IL 60435-6433
Phone (815) 725-1355

National Provider Directory

National Provider Directory

Locations

1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467509711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356433",
            "telephone_number": "815-725-1355",
            "fax_number": "815-725-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322054",
            "telephone_number": "815-723-8939",
            "fax_number": "815-725-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNDALEEKA",
        "authorized_official_first_name": "SARODE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.