Active NPI
Timothy C Hollister, MD
- Radiation Oncology Physician
- Wilmette, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036-104662
- Practice address
- 3201 Old Glenview Rd Ste 100
Wilmette, IL 60091-2964 - Phone
- (847) 512-1849
- Fax
- (847) 512-1850
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 036-104662 | IL | Primary |
Addresses
Primary practice location
3201 Old Glenview Rd Ste 100
Wilmette, IL 60091-2964
Mailing address
3201 Old Glenview Rd Ste 100
Wilmette, IL 60091-2964
Phone (847) 512-1849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104662 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Wisconsin School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 Old Glenview Rd
Suite 100
Wilmette, IL 60091-2964
Phone (847) 673-6505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-104662 | IL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Chicago Surgical Oncology LLC | Current | Accepting new patients | |
| Metro Chicago Surgical Oncology LLC | Current | Accepting new patients | |
| Midwest Radiation Oncology Consultants LTD | Radiation Oncology | Past | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
815 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 366-7854
3201 Old Glenview Rd
Ste 100
Wilmette, IL 60091
Phone (847) 512-1849
Interoperability endpoints
- https://api.platform.athenahealth.com/3164/brand/1/csg/181/fhir/r4
- timothy.hollister.1@3164.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Urology Physician
- Wilmette, IL
- NPI 1043501448
-
dba MCSO Diagnostic Center
- Radiology Clinic/Center
- Wilmette, IL
- NPI 1629495114
-
- Radiation Oncology Physician
- Elgin, IL
- NPI 1033134606
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669528428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 OLD GLENVIEW RD STE 100",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912964",
"telephone_number": "847-512-1849",
"fax_number": "847-512-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 OLD GLENVIEW RD STE 100",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912964",
"telephone_number": "847-512-1849",
"fax_number": "847-512-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLISTER",
"first_name": "TIMOTHY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036-104662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104662",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.