Active NPI
Arnold M Herskovic, MD
- Radiation Oncology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036-097303
- Practice address
- 680 N Lake Shore Dr
418
Chicago, IL 60611-4546 - Phone
- (312) 654-0051
- Fax
- (312) 942-2894
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036097303 | IL | |
| Radiation Oncology Physician | 2085R0001X | 5146-320 | WI | |
| Radiation Oncology Physician | 2085R0001X | 036097303 | IL | |
| Radiation Oncology Physician | 2085R0001X | 036-097303 | IL | Primary |
| Therapeutic Radiology Physician | 2085R0203X | EMC0006393 | MI | |
| General Practice Physician | 208D00000X | 036097303 | IL |
Addresses
Primary practice location
680 N Lake Shore Dr
418
Chicago, IL 60611-4546
Mailing address
680 N Lake Shore Dr
418
Chicago, IL 60611-4546
Phone (312) 654-0051
Other practice location 1
2009 5th St
Monroe, WI 53566-1546
Phone (608) 324-2000
Other practice location 2
300 North Ave
Battle Creek, MI 49017-3307
Phone (269) 245-8056
Other practice location 3
1200 Starfire Dr
Ottawa, IL 61350-1632
Phone (815) 434-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-097303 | Medicaid | IL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aherskovic453611@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, GA, WY, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097303 | IL | MD | Family Medicine Physician |
| 036-097303 | IL | MD | Radiation Oncology Physician |
| 5146-320 | WI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family Medicine | Current | Accepting new patients |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Radiation Oncology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Family Medicine | Current | Accepting new patients |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Past | Accepting new patients |
Locations
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700
2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
210 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 663-5050
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
28594 Network Pl
Chicago, IL 60673
29373 Network Pl
Chicago, IL 60673
62742 Collections Ctr Dr
Chicago, IL 60693
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
4117 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 241-1827
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
815 Main St
Ste A1
Peoria, IL 61602
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1025 9th St
Cody, WY 82414
Phone (307) 578-2955
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
Interoperability endpoints
- aherskovic408764@ecommunitydirect.com
- aherskovic453611@direct-ehr-ssmhc.com
- direct@direct.bronsonhg.org
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group (Dreyer)
- Multi-Specialty Clinic/Center
- Aurora, IL
- NPI 1003542184
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Family Medicine
-
dba Bronson Medical Group
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
Family Medicine
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
Radiation Oncology
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Ottawa, IL
- NPI 1306971080
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1538185095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "418",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-654-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "418",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-654-0051",
"fax_number": "312-942-2894"
}
],
"practiceLocations": [
{
"address_1": "2009 5th St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WI",
"postal_code": "535661546",
"country_code": "US",
"telephone_number": "608-324-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 North Ave",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173307",
"country_code": "US",
"telephone_number": "269-245-8056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Starfire Dr",
"address_purpose": "LOCATION",
"city": "Ottawa",
"state": "IL",
"postal_code": "613501632",
"country_code": "US",
"telephone_number": "815-434-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSKOVIC",
"first_name": "ARNOLD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036097303",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "5146-320",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036097303",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036-097303",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "MI",
"license": "EMC0006393",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036097303",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-097303",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aherskovic453611@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aherskovic453611@direct-ehr-ssmhc.com",
"address_1": "2009 5th St",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661546",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2009 5th St",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661546",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.