Organization Active NPI

Oncology Hematology Associates of Northern Illinois, LTD.

  • Specialist
  • Gurnee, IL
National Provider Identifier
1790813202
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036056326 Issued in IL
Legal business name
ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.
Practice address
202 S Greenleaf St
Suite E
Gurnee, IL 60031
Phone
(847) 336-6111
Fax
(847) 336-7566
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Dr. Naren A Kapadia, MD
Title
President
Phone
(847) 336-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036056326 IL Primary

Addresses

Primary practice location

202 S Greenleaf St
Suite E
Gurnee, IL 60031

Mailing address

202 S Greenleaf St
Suite E
Gurnee, IL 60031-3399
Phone (847) 336-6111

Other identifiers 3

IdentifierTypeStateIssuer
036077916MedicaidIL
4919949OtherILBLUE CROSS BLUE SHIELD
036056326MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1790813202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S GREENLEAF ST",
            "address_2": "SUITE E",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313399",
            "telephone_number": "847-336-6111",
            "fax_number": "847-336-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S GREENLEAF ST",
            "address_2": "SUITE E",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-336-6111",
            "fax_number": "847-336-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "NAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-336-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036056326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077916",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4919949",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056326",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.