Provider Type Icon

SOUTH CAMPUS PARTNERS INC. NPI 1194220897


NPI Information

NPI: 1194220897
Provider Name: SOUTH CAMPUS PARTNERS, INC.
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

CLIA Number: 14D2151547

Address:
15300 WEST AVE BLDG A
ORLAND PARK, IL
ZIP 60462
Phone: (708) 873-2450
Get Directions

SOUTH CAMPUS PARTNERS, INC. is an oncology and radiation clinic center in Orland Park, IL. SOUTH CAMPUS PARTNERS, INC. NPI is 1194220897. The provider is registered as an organization entity type.

The provider's business location address is:

15300 WEST AVE BLDG A
ORLAND PARK, IL
ZIP 60462-600
Phone: (708) 873-2450
Fax: (708) 873-2455

The provider's authorized official is Terrence Moisan .
The authorized official title is Chairperson & President and has the following contact phone number (708) 873-2450.

The CLIA number assigned to this NPI record is 14D2151547 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 3/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0203XClinic/CenterOncology, RadiationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.