Macomb Oncology Institute LTD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MACOMB ONCOLOGY INSTITUTE LTD

Practice address

401 East Grant Street
Macomb, IL 61455

Phone

(309) 836-8400

Fax

(309) 836-8440

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Jacqueline Lam Yuen

Title

Administrator

Phone

(217) 324-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Saleem Mahmood, MD

  • Radiation Oncology Physician
  • Litchfield, IL
  • NPI 1679677678
  Medicare reassignment NPD
• Mohamed Saleh Megahy, M.D., PH.D.

  • Specialist
  • Litchfield, IL
  • NPI 1548252752
  Medicare reassignment NPD

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1982857827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620560483",
            "telephone_number": "217-324-1100",
            "fax_number": "217-324-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST GRANT STREET",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-836-8400",
            "fax_number": "309-836-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB ONCOLOGY INSTITUTE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LAM YUEN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-324-1100"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DP0725",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macomb Comm Unit SCH Dist 185
• Macomb Emergency Physicians PLLC
• Macomb Internal Medicine LTD
• Macomb Medical Associates, LLC
• Macomb Mental Wellness LLC
• Macomb Post Acute Care Center LLC
• Macomb Senior Living Center
• Macomb Senior Living, LLC
• Tanner Maksymicz
• Joy L Manuel, R.N.

• Radiation Oncology Physician in Macomb, IL
• Providers in Macomb, 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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.