Grand Rapids Radiation Oncology Pc in Chicago - Therapeutic Radiology
Grand Rapids Radiation Oncology Pc - NPI 1679614424
Grand Rapids Radiation Oncology Pc is a Therapeutic Radiology in Chicago, Illinois. Grand Rapids Radiation Oncology Pc practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Grand Rapids Radiation Oncology Pc is 1679614424. The last update date is 2007-07-12.
Grand Rapids Radiation Oncology Pc's current location address is 6935 Reliable Pkwy, Chicago, Illinois. You can contact this provider via phone number 6168970995 and fax number 6168970986. The mailing address for Grand Rapids Radiation Oncology Pc is 6935 Reliable Pkwy, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Rapids Radiation Oncology Pc |
|---|---|
| Address | 6935 Reliable Pkwy, Chicago, Illinois |
| Phone Number | 6168970995 |
| Fax Number | 6168970986 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kane M James |
| Credentials | M.D. |
| Telephone Number | 6168970995 |
NPI Number Detail
| NPI Number | 1679614424 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 6935 Reliable Pkwy |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606860001 |
| Phone Number | 6168970995 |
| Fax Number | 6168970986 |
Provider's Primary Taxonomy Detail
| Speciality | Therapeutic Radiology |
|---|---|
| Taxonomy | 2085R0203X |
|
Definition: A doctor who specializes in using radiation to treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0D11351 | MI | BCBSM | |
| 1005578 | MI | CHP |
Post Comment/ Review Below
What is the Grand Rapids Radiation Oncology Pc's unique identification number?
The Grand Rapids Radiation Oncology Pc has been assigned the NPI (National Provider Identifier) Number 1679614424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Grand Rapids Radiation Oncology Pc's physical address?
The Grand Rapids Radiation Oncology Pc is physically located at 6935 Reliable Pkwy, in the city of Chicago, IL, with the postal code 606860001.
What is Grand Rapids Radiation Oncology Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grand Rapids Radiation Oncology Pc's area of specialization is Therapeutic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0203X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679614424 to Grand Rapids Radiation Oncology Pc?
The Centers for Medicare & Medicaid Services originally issued the 1679614424 to Grand Rapids Radiation Oncology Pc on 2007-02-12.
When was the information pertaining to Grand Rapids Radiation Oncology Pc most recently updated or revised?
The details related to Grand Rapids Radiation Oncology Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-12.
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