Northwestern Radiology Oncology Assoc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

NORTHWESTERN RADIOLOGY ONCOLOGY ASSOC

Practice address

251 E Huron St
Galter Pavillion
Chicago, IL 60611-2908

Phone

(312) 926-2520

Fax

(312) 926-6524

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bharat B. Mittal, M.D.

Title

President

Phone

(312) 926-2520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831164052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST",
            "address_2": "SUITE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632688",
            "telephone_number": "630-718-0200",
            "fax_number": "630-718-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "GALTER PAVILLION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2520",
            "fax_number": "312-926-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN RADIOLOGY ONCOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-926-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "02220333",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwestern Oral & Maxillofacial Surgeons PC
• Northwestern Orthopaedic Institute
• Northwestern Orthopaedic Institute, LLC
• Northwestern Peak Performance Health Care, LTD
• Northwestern Perinatal Associates, S.C.
• Northwestern Skin Cancer Institute, LTD
• Northwestern Specialists in Plastic Surgery, S.C.
• Northwestern Surgical Associates
• Northwestern Surgical Associates
• Northwestern University

• Radiation Oncology Physician in Chicago, IL
• Providers in Chicago, 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 Aug 22, 2020; 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.