ADVANCED RADIATION ONCOLOGY CENTER OF ILLINOIS INC NPI 1548251986

NPI Information

NPI: 1548251986
Provider Name: ADVANCED RADIATION ONCOLOGY CENTER OF ILLINOIS INC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
95 N GREENLEAF ST
SUITE A
GURNEE, IL
ZIP 60031
Phone: (847) 623-2114
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ADVANCED RADIATION ONCOLOGY CENTER OF ILLINOIS INC is a radiation oncology radiology in Gurnee, 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. ADVANCED RADIATION ONCOLOGY CENTER OF ILLINOIS INC NPI is 1548251986. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

95 N GREENLEAF ST
SUITE A
GURNEE, IL
ZIP 60031-309
Phone: (847) 623-2114
Fax: (847) 623-4628

The provider's authorized official is Yashbir Mehta .
The authorized official title is Officer and has the following contact phone number (847) 623-2114.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 5/3/2019.

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
1	2085R0001X	Radiology	Radiation Oncology			Yes

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
1	L97119	OTHER	ILLINOIS	YASHBIR MEHTA, MD - MDCR
2	L97120	OTHER	ILLINOIS	PARVATHY KURUP, MD - MDCR

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

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