Joliet Oncology Hematology Assoc LTD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036052030 Issued in IL

Legal business name

JOLIET ONCOLOGY HEMATOLOGY ASSOC LTD

Practice address

420 Remington Blvd
Suite 230
Bolingbrook, IL 60440

Phone

(630) 759-7553

Fax

(630) 759-7558

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sarode K Pundaleeka, MD

Title

President/Owner

Phone

(815) 725-1355

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1699090852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356433",
            "telephone_number": "815-725-1355",
            "fax_number": "815-725-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 REMINGTON BLVD",
            "address_2": "SUITE 230",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-759-7553",
            "fax_number": "630-759-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET ONCOLOGY HEMATOLOGY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "PUNDALEEKA",
        "authorized_official_first_name": "SARODE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-725-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036052030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09919437",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smita Ketan Jobanputra, M.D.
• Angela John
• Kim Bernadette Johnson, COTA/L
• Maricela Johnson, RDH
• Joiful Journey PLLC
• Joliet Oncology Hematology Associates LTD
• Alfrieda Jones, MA, LPC
• Laquida Denise Jones, LCSW
• Kristen Michelle Jopes, LCSW
• Lia Jordano, M.D.

• Hematology & Oncology Physician in Bolingbrook, IL
• Providers in Bolingbrook, 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 Jun 25, 2010; 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.