Vantage Cancer Care - Illinois, S.c.
NPI #1508267220 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1508267220
- Entity Type
- Organization
- Organization Name
- Vantage Cancer Care - Illinois, S.c.
- Primary Specialty
- Internal Medicine - Medical Oncology
- Enumeration Date
- Sep 12, 2014
- Last Updated
- Sep 15, 2014
Practice Location
- Address
- 17750 SOUTH KEDZIE AVENUE
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2047
- Phone
- (708) 799-9995
Authorized Official
- Name
- DR. LESLIE E. BOTNIK, M.D.
- Title
- PRESIDENT
- Phone
- (323) 595-5769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
| Internal Medicine - Medical Oncology — Medical Oncology |
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