Organization Active NPI

Cook County Medical Research

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1861789877
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
COOK COUNTY MEDICAL RESEARCH
Practice address
4809 W Madison St
Chicago, IL 60644-3640
Phone
(773) 473-7800
Fax
(773) 473-7801
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Sadhna Mohaan
Title
Billing Manager
Phone
(630) 375-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

4809 W Madison St
Chicago, IL 60644-3640

Mailing address

PO Box 9005
Naperville, IL 60567-0005

Other names 1

  • Cook County Medical Research and Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

4809 W Madison St
Chicago, IL 60644
Phone (773) 261-1013

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1861789877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9005",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605670005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606443640",
            "telephone_number": "773-473-7800",
            "fax_number": "773-473-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COUNTY MEDICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MOHAAN",
        "authorized_official_first_name": "SADHNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-375-6500"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook County Medical Research and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.