American Cancer Center

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

036066206 Issued in IL

Legal business name

AMERICAN CANCER CENTER

Practice address

846 Dundee Ave
Elgin, IL 60120-3068

Phone

(847) 695-3555

Fax

(847) 695-5937

NPI assigned

Mar 30, 2007

Last updated

Jun 12, 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

Lucy Bogdan

Title

Office Manager

Phone

(847) 695-3555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Charles G Groen, MD

  • Radiation Oncology Physician
  • Niles, IL
  • NPI 1497742860
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1750401196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203068",
            "telephone_number": "847-695-3555",
            "fax_number": "847-695-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203068",
            "telephone_number": "847-695-3555",
            "fax_number": "847-695-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-695-3555"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "IL",
            "license": "036066206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DE9845",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Amarathithada, NP
• Amb Behavioral Health Prof. Corp.
• Ambe Dental Works, Inc
• Amber Bard MD LLC
• America's Best Contacts & Eyeglasses
• American Drug Stores LLC (Osco Drug #2313)
• American Drug Stores LLC (Osco Drug #3291)
• American Oncology Partners, P.a.
• American Physiotherapists LLC
• Laura E Amezcua

• Radiation Oncology Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Radiation Oncology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.