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SOUTH CAMPUS PARTNERS, INC.
NPI 1194220897
Clinic/Center - Oncology, Radiation in Orland Park, IL

Active since March 26, 2018CLIA 14D2151547 · Waiver
15300 WEST AVE BLDG A, ORLAND PARK, IL 60462(708) 873-2450(708) 873-2455 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Campus Partners, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CAMPUS PARTNERS, INC. (NPI 1194220897) is a healthcare organization registered as an oncology, radiation in Orland Park, Illinois and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Terrence Moisan, Chairperson & President, as its authorized official.

NPPES Registry Identity

NPI1194220897
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameSOUTH CAMPUS PARTNERS, INC.
Location Address15300 WEST AVE BLDG AOrland Park, IL 60462-4600
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-3708
Phone(708) 873-2450
Fax(708) 873-2455
Organization SubpartNo
Authorized OfficialTerrence MoisanChairperson & President · (708) 873-2450
Enumeration DateMarch 26, 2018
✔ NPI 1194220897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
15300 WEST AVE BLDG A, Orland Park, IL 60462
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2151547

South Campus Partners · Orland Park, IL
Active · expires Jul 19, 2028
CLIA Number14D2151547
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorTamer Abdelrhman M D
Laboratory Phone(708) 873-2450
Laboratory LocationSouth Campus Partners15300 West Ave - Bldg A - Ground Level, Orland Park, IL 60462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Campus Partners, Inc.'s NPI number?

The NPI number for South Campus Partners, Inc. is 1194220897. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is South Campus Partners, Inc. located?

South Campus Partners, Inc. is located at 15300 West Ave Bldg A, Orland Park, IL 60462. The listed phone number is (708) 873-2450.

What is South Campus Partners, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.

Does South Campus Partners, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2151547) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Campus Partners, Inc. was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.