Organization Active NPI

Oncology of Northshore Clinic PLLC

  • Hematology & Oncology Physician
  • Rolling Meadows, IL
National Provider Identifier
1962436204
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY OF NORTHSHORE CLINIC PLLC
Practice address
2000 Golf Rd
Rolling Meadows, IL 60008
Phone
(847) 871-1800
Fax
(847) 629-4937
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Bassam F Matar, MDNPI 1164462941
Title
Owner/Dr
Phone
(847) 871-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

2000 Golf Rd
Rolling Meadows, IL 60008

Mailing address

2000 Golf Rd
Rolling Meadows, IL 60008-4216
Phone (847) 871-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000104 IL Part B Supplier - Clinic/Group Practice 6709883382 Receives reassigned benefits from 5 practitioners
Practice locations: Rolling Meadows, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0996289Oncology of Northshore Clinic2000 Golf Road, Rolling Meadows, IL 60008Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

5131 N Lincoln Ave
Apt 2
Chicago, IL 60625
Phone (773) 271-0800

Practitioners & affiliated clinicians

Practitioners 5

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1962436204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GOLF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084216",
            "telephone_number": "847-871-1800",
            "fax_number": "847-871-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GOLF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "847-871-1800",
            "fax_number": "847-629-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY OF NORTHSHORE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "MATAR",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "847-871-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.