Organization Active NPI

Rosa of Northern Illinois, LLC

  • Specialist
  • Winfield, IL
National Provider Identifier
1487816922
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROSA OF NORTHERN ILLINOIS, LLC
Practice address
0N126 Winfield Road
Winfield, IL 60190-1020
Phone
(630) 690-3400
NPI assigned
Jun 26, 2008
Organization subpart
Yes
Parent organization
RADIATION ONCOLOGY SERVICES OF AMERICA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Gregory S. Merrill
Title
Chief Operating Officer
Phone
(615) 250-1798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

0N126 Winfield Road
Winfield, IL 60190-1020

Mailing address

320 Seven Springs Way
Suite 220
Brentwood, TN 37027-4537
Phone (615) 250-1798

National Provider Directory

National Provider Directory

Locations

0N126 Winfield Rd
Winfield, IL 60190
Phone (630) 690-3400

Practitioners & affiliated clinicians

Practitioners 6

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1487816922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SEVEN SPRINGS WAY",
            "address_2": "SUITE 220",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274537",
            "telephone_number": "615-250-1798",
            "fax_number": "615-250-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0N126 WINFIELD ROAD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901020",
            "telephone_number": "630-690-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA OF NORTHERN ILLINOIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIATION ONCOLOGY SERVICES OF AMERICA, INC.",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "615-250-1798"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.