Illinois Oncology LTD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

ILLINOIS ONCOLOGY LTD

Practice address

4000 North Illinois Lane
Suite C
Swansea, IL 62226

Phone

(618) 233-8000

Fax

(618) 233-8020

NPI assigned

Oct 2, 2007

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William J Popovic, MD

Title

President

Phone

(618) 288-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirby L Klostermann, FNP

  • Nurse Practitioner
  • Glen Carbon, IL
  • NPI 1285829572
  NPD (past)
• Hiram Alberto Gay, MD

  • Radiation Oncology Physician
  • Saint Louis, MO
  • NPI 1720045297
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1659568764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NORTH ILLINOIS LANE",
            "address_2": "SUITE C",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-233-8000",
            "fax_number": "618-233-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NORTH ILLINOIS LANE",
            "address_2": "SUITE C",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-233-8000",
            "fax_number": "618-233-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ONCOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "POPOVIC",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Howard, LPC
• Kesha Humphreys
• Keith Hurst, RNFA
• Steven Robert Huth, P.T.
• Illinois Mentor
• Illinois Recovery Center, LLC
• Illinois Retina Surgery LTD
• Angela M Ingram, M.A., LCPC
• Interventional Pain Consultants LLC
• Interventional Pain Medicine LLC

• Hematology & Oncology Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.