SOUTHERN COOK RADIATION ONCOLOGY LTD
NPI 1487635314
Radiology - Radiation Oncology in Blue Island, IL

NPI Status: Active since November 08, 2005

Contact Information

2310 YORK ST
SUITE M
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 396-0910
Fax: (708) 388-4354

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  • Organization
  • Radiology
  • Radiation Oncology

About SOUTHERN COOK RADIATION ONCOLOGY LTD

This page provides the complete NPI Profile along with additional information for Southern Cook Radiation Oncology Ltd, a provider established in Blue Island, Illinois operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1487635314 assigned on November 2005. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gregorio M Tolentino Jr. Md (Officer)

NPI
1487635314
Provider Name
SOUTHERN COOK RADIATION ONCOLOGY LTD
Entity Type
Organization
Location Address
2310 YORK ST SUITE M BLUE ISLAND, IL 60406
Location Phone
(708) 396-0910
Location Fax
(708) 388-4354
Mailing Address
PO BOX 379 ORLAND PARK, IL 60462
Mailing Phone
(708) 460-9836
Mailing Fax
(708) 388-4354
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2005
Last Update Date
07-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GREGORIO M TOLENTINO JR. MD

Authorized Official Title
OFFICER
Authorized Official Phone
(708) 396-0910

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
211514MEDICARE PIN (08) 
1617459OTHER (01)ILBCBS IL GR #
CL9637OTHER (01)RR MEDICARE GR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487635314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671231032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 3 + 1 + 0 + 3 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1487635314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477553188DR. ROBERT ETHAN APPLEBAUM M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2310 YORK ST SUITE 3A
BLUE ISLAND, IL 60406
(708) 371-2057
1255325676DR. JEROME ANTOUN JABBOUR MD
Individual
Family Medicine2310 YORK ST SUITE 2 C
BLUE ISLAND, IL 60406
(773) 809-3622
1154343408DR. RAFIQ AHMED MD
Individual
Internal Medicine (Gastroenterology)2310 YORK ST SUITE 2B
BLUE ISLAND, IL 60406
(708) 388-7028
1528079977NEURODIAGNOSTIC SERVICES LTD
Organization
Psychiatry & Neurology (Neurology)2310 YORK ST #2C
BLUE ISLAND, IL 60406
(708) 388-4902
1457546848DR. LAURIE SUE GORDON DDS
Individual
Dentist (General Practice)2310 YORK ST 4B
BLUE ISLAND, IL 60406
(708) 388-0001
1396074753SA PADUA MEDICAL CENTER, LLC
Organization
Family Medicine2310 YORK ST SUITE 2C
BLUE ISLAND, IL 60406
(708) 388-4902
1013292457RAFIQ AHMED M.D., S.C.
Organization
Clinic/Center (Medical Specialty)2310 YORK ST SUITE 2B
BLUE ISLAND, IL 60406
(708) 388-7028
1831145325NEWPORT MEDICAL ASSOCIATES, LTD
Organization
Internal Medicine (Cardiovascular Disease)2310 YORK ST
BLUE ISLAND, IL 60406
(708) 385-8820
1598741050DR. THEODORE G JAMES MD
Individual
Family Medicine2310 YORK ST STE 2C
BLUE ISLAND, IL 60406
(708) 388-4903
1336120807DR. GREGORIO M TOLENTINO JR. MD
Individual
Radiology (Radiation Oncology)2310 YORK ST SUITE M
BLUE ISLAND, IL 60406
(708) 396-0910
1972558757HOPE MEDICAL SC
Organization
Internal Medicine2310 YORK ST SUITE 3C
BLUE ISLAND, IL 60406
(708) 388-3022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487635314, enumerated in the NPI registry as an "organization" on November 08, 2005

The provider is located at 2310 York St Suite M Blue Island, Il 60406 and the phone number is (708) 396-0910

This medical organization specializes in Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.