Radiation Oncology of Kankakee

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIATION ONCOLOGY OF KANKAKEE

Practice address

100 Provena Way
Suite 102
Bourbonnais, IL 60914-4796

Phone

(815) 937-2460

Fax

(815) 937-2031

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Salwa F Asaad, MD

Title

Officer

Phone

(708) 774-2970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1700867496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-774-2970",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVENA WAY",
            "address_2": "SUITE 102",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144796",
            "telephone_number": "815-937-2460",
            "fax_number": "815-937-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY OF KANKAKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "ASAAD",
        "authorized_official_first_name": "SALWA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-774-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL GROUP#",
            "identifier": "046155057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Provena Imaging Services Inc (Provena Health Center for Diagnostic Imaging)
• Provena St Marys Hospital
• Pulmonary & Critical Care Associates of Kankakee LTD
• Pure Growth Counseling PLLC
• Haley Rose Radev
• Raffi Leblebijian
• Niveditha Rajagopalan, D.M.D.
• Erik Ranta, O.D.
• Issra Rashed, MD
• Dina Rashid, DMD

• Radiation Oncology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.