Provider Demographics
NPI:1285606590
Name:NORTON, OSCAR DEAN (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:DEAN
Last Name:NORTON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 N LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-3716
Mailing Address - Country:US
Mailing Address - Phone:217-431-4290
Mailing Address - Fax:217-431-4013
Practice Address - Street 1:806 N LOGAN AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3716
Practice Address - Country:US
Practice Address - Phone:217-431-4290
Practice Address - Fax:217-431-4013
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036100134174400000X, 2085R0001X
MO114102174400000X
IN01077318A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036100134Medicaid
MO003011961Medicare ID - Type UnspecifiedFARMINGTON
IL036100134Medicaid
ILK10869Medicare ID - Type UnspecifiedFAIRVIEW HEIGHTS
MO003012117Medicare ID - Type UnspecifiedUNION