institution
Mt Vernon Radiation Therapy Center
Radiation Oncology Clinic/Center in Mount Vernon, Illinois
NPI 1952477028

Mt Vernon Radiation Therapy Center is a Radiation Oncology Clinic/Center based in Saint Louis, IL and is specialized in Oncology, Radiation. Mt Vernon Radiation Therapy Center practices in Mount Vernon, IL. The NPI Number for Mt Vernon Radiation Therapy Center is 1952477028 and holds a License No. (Illinois).

The current practice location address for Mt Vernon Radiation Therapy Center is 4117 Veterans Memorial Dr, Mount Vernon, IL and can be reached out via phone at 618-241-1827. You can also correspond with Mt Vernon Radiation Therapy Center through the mailing address at PO BOX 504229, SAINT LOUIS, MO - 63150-0001 (mailing address contact number: 618-241-1827).

Location: 4117 Veterans Memorial Dr, Mount Vernon, IL, 63150-0001
institution
Provider Profile Details
NPI Number
1952477028
Provider Name
Mt Vernon Radiation Therapy Center
Credential
Provider Entity Type
Organization
Address
4117 Veterans Memorial Dr, Mount Vernon, IL, 63150-0001
Phone Number
618-241-1827
Fax Number
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
276923 01 IL GROUP HEALTH PLAN
4132037 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4117 Veterans Memorial Dr
City
State
Zip
62864-6262
Phone Number
618-241-1827
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 504229
City
State
Zip
63150-0001
Phone Number
618-241-1827
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology, Radiation
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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