Organization Active NPI

Nuclear Oncology, SC

  • Radiation Oncology Physician
  • Joliet, IL
National Provider Identifier
1922031418
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NUCLEAR ONCOLOGY, SC
Practice address
2614 W Jefferson St
Joliet, IL 60435-6433
Phone
(815) 730-3537
Fax
(815) 730-3020
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Roger S Krueger
Title
Group Administrator
Phone
(630) 734-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X IL Primary

Addresses

Primary practice location

2614 W Jefferson St
Joliet, IL 60435-6433

Mailing address

PO Box 74
Hiawatha, IA 52233-0074
Phone (319) 826-3763

Other identifiers 1

IdentifierTypeStateIssuer
CF6040OtherILRAILROAD MEDICARE PIN

National Provider Directory

National Provider Directory

Locations

15 Salt Creek Ln
Ste 105
Hinsdale, IL 60521

15 Salt Creek Ln
Ste 119
Hinsdale, IL 60521

1600 W US Route 6
Morris, IL 60450
Phone (815) 364-8915

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922031418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522330074",
            "telephone_number": "319-826-3763",
            "fax_number": "888-609-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356433",
            "telephone_number": "815-730-3537",
            "fax_number": "815-730-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR ONCOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "630-734-9560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CF6040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.