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Jack T Sandford, MD
Radiation Oncology Physician in Carterville, Illinois
NPI 1801835913

Jack T Sandford is a Radiation Oncology Physician based in Boalsburg, IL and is specialized in Radiation Oncology. Jack T Sandford practices in Carterville, IL and has the professional credentials of MD. The NPI Number for Jack T Sandford is 1801835913 and holds a License No. 036104428 (Illinois).

The current practice location address for Jack T Sandford is 10286 Fleming Rd, Carterville, IL and can be reached out via phone at 618-985-4000 and via fax at 618-985-4155.

Location: 10286 Fleming Rd, Carterville, IL, 16827-1509
person
Provider Profile Details
NPI Number
1801835913
Provider Name
Jack T Sandford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10286 Fleming Rd, Carterville, IL, 16827-1509
Phone Number
618-985-4000
Fax Number
618-985-4155
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036104428 05 IL
10027422 01 IL IL BCBS
institution
Provider Business Practice Location Address Details
Address
10286 Fleming Rd
City
State
Zip
62918-3351
Phone Number
618-985-4000
Fax Number
618-985-4155
person
Provider Business Mailing Address Details
Address
10286 Fleming Rd
City
State
Zip
62918-3351
Phone Number
618-985-4000
Fax Number
618-985-4155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
036104428 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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