NORTHERN ILLINOIS CANCER TREATMENT CENTER
NPI 1386644995
Radiology - Radiation Oncology in Dixon, IL

Q: What is Northern Illinois Cancer Treatment Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Active since July 26, 2005

327 IL ROUTE 2, DIXON, IL 61021(815) 284-1111(815) 284-2306 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Northern Illinois Cancer Treatment Center NPPES

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

NORTHERN ILLINOIS CANCER TREATMENT CENTER (NPI 1386644995) is a healthcare organization registered as a radiation oncology in Dixon, Illinois and active in the NPI registry since July 2005. The organization lists Jon Berens, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1386644995

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameNORTHERN ILLINOIS CANCER TREATMENT CENTER

Location Address327 IL ROUTE 2Dixon, IL 61021-9118

Mailing Address327 Il Route 2Dixon, IL 61021-9118 · (815) 284-1111 · Fax (815) 284-2306

Phone(815) 284-1111

Fax(815) 284-2306

Organization SubpartNo

Authorized OfficialJon BerensAuthorized Official · (815) 284-1111

Enumeration DateJuly 26, 2005

Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1386644995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

327 IL ROUTE 2, Dixon, IL 61021

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Other Identifiers 1

Other05215222IL · Blue Shield Provider Numb

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Illinois Cancer Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northern Illinois Cancer Treatment Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Roby Lal, DO

Radiation Oncology

NPI 1811983489

221 NE GLEN OAK AVE
Peoria, IL 61636

(309) 672-5702

✔ PECOS✔ Accepts Medicare77 mi

Edward Miles, M.D.

Radiation Oncology

NPI 1336311349

1000 LANGWORTHY ST
Dubuque, IA 52001

(563) 584-3480

✔ PECOS✔ Accepts Medicare80 mi

Gary Shultz, D.O.

Radiation Oncology

NPI 1538177241

202 10TH ST SE
Cedar Rapids, IA 52403

(563) 556-3944

✔ PECOS116 mi

Saleh Hatoum, MD

Radiation Oncology

NPI 1396284717

659 BOULEVARD ST
Dover, OH 44622

(330) 343-3311

✔ PECOS✔ Accepts Medicare425 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northern Illinois Cancer Treatment Center's NPI number?

The NPI number for Northern Illinois Cancer Treatment Center is 1386644995. It was assigned to this organization in the NPPES registry on July 26, 2005.

Where is Northern Illinois Cancer Treatment Center located?

Northern Illinois Cancer Treatment Center is located at 327 Il Route 2, Dixon, IL 61021. The listed phone number is (815) 284-1111.

What is Northern Illinois Cancer Treatment Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Northern Illinois Cancer Treatment Center enrolled in Medicare?

Yes. Northern Illinois Cancer Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Illinois Cancer Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Radiation Oncology, reassign their Medicare billing to Northern Illinois Cancer Treatment Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Illinois Cancer Treatment Center was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.