Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI Number | 1770920183 |
| LBN Legal business name | SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION |
| Authorized official | FREDERICK BERNSTEIN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/24/2013 |
| Last updated | 12/16/2013 - About 12 years ago |
| Identifiers | n/a |
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