National Provider Identifier Database

MT VERNON RADIATION THERAPY CENTER
Oncology, Radiation


Contact Information

MT VERNON RADIATION THERAPY CENTER
4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL62864-6262
Phone: 618-241-1827
Fax:
Website:
Specialty Taxonomy Code
* Oncology, Radiation 261QX0203X

* Indicates primary specialty

NPI Profile & details for MT VERNON RADIATION THERAPY CENTER

NPI Number 1952477028
Legal business name
LBN
MT VERNON RADIATION THERAPY CENTER
Authorized official RICHARD HUNTINGTON - (VICE PRESIDENT BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 4132037 BLUE CROSS BLUE SHIELD
  • IL Other: 276923 GROUP HEALTH PLAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MT VERNON RADIATION THERAPY CENTER

There are currently no reviews for MT VERNON RADIATION THERAPY CENTER


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