institution
Western Illinois Cancer Treatment Center
Radiation Therapy Radiologic Technologist in Galesburg, Illinois
NPI 1417985011

Western Illinois Cancer Treatment Center is a Radiation Therapy Radiologic Technologist based in Galesburg, IL and is specialized in Radiation Therapy. Western Illinois Cancer Treatment Center practices in Galesburg, IL. The NPI Number for Western Illinois Cancer Treatment Center is 1417985011 and holds a License No. 036077270 (Illinois).

The current practice location address for Western Illinois Cancer Treatment Center is 450 Mayo Dr, Galesburg, IL and can be reached out via phone at 309-344-2831 and via fax at 309-344-2014. You can also correspond with Western Illinois Cancer Treatment Center through the mailing address at 450 MAYO DR, GALESBURG, IL - 61401-1211 (mailing address contact number: 309-344-2831).

Location: 450 Mayo Dr, Galesburg, IL, 61401-1211
institution
Provider Profile Details
NPI Number
1417985011
Provider Name
Western Illinois Cancer Treatment Center
Credential
Provider Entity Type
Organization
Address
450 Mayo Dr, Galesburg, IL, 61401-1211
Phone Number
309-344-2831
Fax Number
309-344-2014
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007799 01 HEALTH ALLIANCE
014885 01 IL HEALTH ALLIANCE INS.
04815059 01 BLUE CROSS BLUE SHIELD
CM5868 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
450 Mayo Dr
City
State
Zip
61401-1211
Phone Number
309-344-2831
Fax Number
309-344-2014
person
Provider Business Mailing Address Details
Address
450 Mayo Dr
City
State
Zip
61401-1211
Phone Number
309-344-2831
Fax Number
309-344-2014
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiation Therapy
Taxonomy
License No.
036077270 (Illinois)
Definition
Definition to come...
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