Inter-Community Radiation Oncology SC

Organization Radiation Oncology Physician · NPI 1093796336

Inter-Community Radiation Oncology SC provides Radiation Oncology Physician services in Hazel Crest, Illinois. Registered with an NPI since 2005.

In the registry since: 2005

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Practice location Address checks out

17750 Kedzie Ave
Hazel Crest, IL 60429-2047 Not confirmed with CMS for 18 years — call before visiting
Phone: (708) 799-9995
Fax: (708) 799-8129

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary)	Taxonomy 2085R0001X

Record details

NPI number	1093796336
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jayant Ginde — Officer · (708) 799-9995
Other names	South Suburban Cancer Center
NPI enumerated	November 11, 2005
Last updated in NPPES	June 20, 2008
Mailing address	Po Box 15040, Evansville, IN 47716-0040