South Suburban Cancer Center
LBN: Inter-Community Radiation Oncology Sc
South Suburban Cancer Center is an health care organization with primary practice located at 17750 Kedzie Ave , Hazel Crest IL 60429-2047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty.
Inter-Community Radiation Oncology Sc can be contacted via phone (708) 799-9995, or through Ginde, Jayant V via phone (708) 799-9995.
Contact Information
Primary practice address
17750 Kedzie Ave
Hazel Crest IL 60429-2047
Phone: (708) 799-9995
Fax: (708) 799-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1093796336 |
|---|---|
| LBN Legal business name | Inter-Community Radiation Oncology Sc |
| DBA Doing business as | South Suburban Cancer Center |
| Authorized official | Ginde, Jayant V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Jun 20th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093796336 | NPPES |
| Illinois | Other | CM3780 | RR MEDICARE GROUP # |
| Illinois | Other | 0031603263 | RR MEDICARE GROUP # |
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