Southwest Hematology-Oncology Consultant, Sc

NPI #1023225331 in Oak Lawn, Illinois

Provider Information

NPI Number: 1023225331
Entity Type: Organization
Organization Name: Southwest Hematology-Oncology Consultant, Sc
Primary Specialty: Specialist
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6419 WEST 87TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453
Phone: (708) 233-5636

Authorized Official

Name: DR. RAJ R MITTAL, M.D.
Title: OWNER
Phone: (708) 233-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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