Oncology MDS, Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036086894 Issued in IL

Legal business name

ONCOLOGY MDS, INC

Doing business as

Dekalb Imaging

Practice address

3301 Resource Pkwy
Dekalb, IL 60115-5334

Phone

(815) 519-1788

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sabet M Siddiqui

Title

President

Phone

(815) 519-1788

Specialties & licenses 1

Addresses

Other names 1

• Dekalb Imaging Doing business as

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1831544857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "815-519-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "815-519-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY MDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SABET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-519-1788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036086894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Olson, PH.D.
• Johannah Olson, LSW
• John Bradley Olson, DDS
• Kenneth A Olson, PT
• Oncology MDS, Inc
• One Or Two, LTD.
• Oneopto Il 2 PLLC
• Arzygul Orazova
• Valerie Origel, MS
• Grace Ortman

• Hematology & Oncology Physician in Dekalb, IL
• Providers in Dekalb, 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 Apr 27, 2016; 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.