Southern Cook Radiation Oncology Ltd
NPI #1487635314 in Blue Island, Illinois
Provider Information
- NPI Number
- 1487635314
- Entity Type
- Organization
- Organization Name
- Southern Cook Radiation Oncology Ltd
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Jul 23, 2010
Practice Location
- Address
- 2310 YORK ST
- Address 2
- SUITE M
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2411
- Phone
- (708) 396-0910
Authorized Official
- Name
- DR. GREGORIO M TOLENTINO JR., MD
- Title
- OFFICER
- Phone
- (708) 396-0910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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