Suburban Radiation Oncology Sc

NPI #1306852272 in Olympia Fields, Illinois

Provider Information

NPI Number: 1306852272
Entity Type: Organization
Organization Name: Suburban Radiation Oncology Sc
Primary Specialty: Specialist
Enumeration Date: Jul 31, 2006
Last Updated: Nov 14, 2007

Practice Location

Address: 3900 W. BURKE DRIVE
City: Olympia Fields
State: Illinois
ZIP Code: 60461
Phone: (708) 747-4900

Authorized Official

Name: DR. MIR J. SHAH, MD
Title: PRESIDENT
Phone: (708) 747-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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