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Contact Information

INTER-COMMUNITY RADIATION ONCOLOGY SC
17750 KEDZIE AVE
HAZEL CREST, IL60429-2047
 Phone: 708-799-9995
 Fax: 708-799-8129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for INTER-COMMUNITY RADIATION ONCOLOGY SC

NPI # 1093796336
LBN Legal business name INTER-COMMUNITY RADIATION ONCOLOGY SC
Authorized official JAYANT GINDE - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2005
Last updated 06/20/2008 - About 18 years ago
Identifiers
IL Other 0031603263 BCBS OF IL
IL Other CM3780 RR MEDICARE GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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