Southern Cook Radiation Oncology Ltd

LBN: Southern Cook Radiation Oncology Ltd
Southern Cook Radiation Oncology Ltd is an health care organization with primary practice located at 2310 York St Suite M, Blue Island IL 60406-2411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Southern Cook Radiation Oncology Ltd can be contacted via phone (708) 396-0910, or through Tolentino, Gregorio M via phone (708) 396-0910.

Contact Information

Primary practice address
2310 York St Suite M Blue Island IL 60406-2411
Phone: (708) 396-0910
Fax: (708) 388-4354
Website:
Map and Directions
Authorized official contact:
Name: Tolentino, Gregorio M Doctor of Medicine (MD)
Phone: (708) 396-0910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1487635314
LBN Legal business name Southern Cook Radiation Oncology Ltd
DBA Doing business as
Authorized official Tolentino, Gregorio M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 23rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487635314 NPPES
Other CL9637 RR MEDICARE GR
Other 1617459 RR MEDICARE GR

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