CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS LTD NPI 1003857061

NPI Information

  • NPI: 1003857061
  • Provider Name: CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 221 NE GLEN OAK AVE
    PEORIA, IL
    ZIP 61636
  • Phone: (309) 672-5700

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NPI Details

CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD is a radiation oncology radiology in Peoria, IL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD NPI is 1003857061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61636-001
Phone: (309) 672-5700
Fax: (309) 671-2774

The provider's authorized official is Revathi Swaminathan .
The authorized official title is Owner and has the following contact phone number (309) 671-8749.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/4/2007.

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
12085R0001XRadiologyRadiation OncologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE7037OTHERRAILROAD GROUP NUMBER
2212923MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE

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: 11/21/2025

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