Individual provider Active NPI

Cristina M Odonoghue, M.D., M.P.H.

  • Surgical Oncology Physician
  • Chicago, IL
National Provider Identifier
1508032715
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
036.143014 Issued in IL
Practice address
1725 W Harrison St Ste 810
Chicago, IL 60612-3863
Phone
(312) 942-5500
Fax
(312) 563-2080
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.143014 IL
Surgery Physician 208600000X ME123563 FL
Surgical Oncology Physician 2086X0206X 036.143014 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 810
Chicago, IL 60612-3863

Mailing address

1725 W Harrison St Ste 810
Chicago, IL 60612-3863
Phone (312) 942-5500

Other practice location 1

12902 Magnolia Dr
Tampa, FL 33612
Phone (866) 600-2273

Other practice location 2

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725003788 IL Practitioner - Surgical OncologyPractitioner - General Surgery 4880964733 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahp Specialty Care NFPGroup PAC ID 9931491107, 32 clinicians
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-6990

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy13
Melanoma (skin cancer) excision50
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123563FLMDSurgery Physician
036.143014ILMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago CurrentSince Mar 1, 2024 Accepting new patients
Rush University Medical Group Surgery CurrentSince Jan 14, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Adventist Health Partners, Inc CurrentSince Sep 1, 2025 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Ahp Specialty Care NFP CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health Partners,Inc CurrentSince Sep 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

396 Remington Blvd
Ste 130
Bolingbrook, IL 60440
Phone (630) 312-5000

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 818
Chicago, IL 60612
Phone (312) 942-4444

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: codonoghue308316@uchospital.direct-ci.com
  • Direct secure messaging: codonoghue135442@direct.rush.rush-health.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1508032715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-5500",
            "fax_number": "312-563-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-5500",
            "fax_number": "312-563-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12902 Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33612",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODONOGHUE",
        "first_name": "CRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.143014",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123563",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "036.143014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.