Southern Illinois Radiation Oncology Llc in Carterville - Radiation Oncology
Southern Illinois Radiation Oncology Llc - NPI 1447318050
Southern Illinois Radiation Oncology Llc is a Radiation Oncology in Carterville, Illinois. Southern Illinois Radiation Oncology Llc practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Southern Illinois Radiation Oncology Llc is 1447318050. The last update date is 2019-03-04.
Southern Illinois Radiation Oncology Llc's current location address is 1400 Pin Oak Dr, Carterville, Illinois. You can contact this provider via phone number 6189853333 and fax number 6189851315. The mailing address for Southern Illinois Radiation Oncology Llc is 1400 Pin Oak Dr, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Radiation Oncology Llc |
|---|---|
| Address | 1400 Pin Oak Dr, Carterville, Illinois |
| Phone Number | 6189853333 |
| Fax Number | 6189851315 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Little Michael |
| Credentials | MD |
| Telephone Number | 6189853333 |
NPI Number Detail
| NPI Number | 1447318050 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
| Address | 1400 Pin Oak Dr |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629181600 |
| Phone Number | 6189853333 |
| Fax Number | 6189851315 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078040 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southern Illinois Radiation Oncology Llc by the Centers for Medicare & Medicaid Services?
The Southern Illinois Radiation Oncology Llc has been issued the NPI (National Provider Identifier) 1447318050. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southern Illinois Radiation Oncology Llc?
The Southern Illinois Radiation Oncology Llc is situated at 1400 Pin Oak Dr, in the city of Carterville, state of IL, with the zip code 629181600.
What is Southern Illinois Radiation Oncology Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Illinois Radiation Oncology Llc is Radiation Oncology, and the taxonomy code that categorizes this field of expertise is 2085R0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447318050 to Southern Illinois Radiation Oncology Llc?
The Southern Illinois Radiation Oncology Llc received its 1447318050 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the Southern Illinois Radiation Oncology Llc's information last updated?
The Southern Illinois Radiation Oncology Llc's information was last updated on 2019-03-04.