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NOMC/MACNEAL RADIATION THERAPY JOINT VENTURE LLC NPI 1801829395


NPI Information

NPI: 1801829395
Provider Name: NOMC/MACNEAL RADIATION THERAPY JOINT VENTURE, LLC

Doing Business As: D.B.A.-BERWYN RADIATION ONCOLOGY CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
6801 34TH ST
BERWYN, IL
ZIP 60402
Phone: (708) 484-0011
Get Directions

NOMC/MACNEAL RADIATION THERAPY JOINT VENTURE, LLC is a radiation oncology radiology in Berwyn, 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. NOMC/MACNEAL RADIATION THERAPY JOINT VENTURE, LLC NPI is 1801829395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As D.b.a.-berwyn Radiation Oncology Center.

The provider's business location address is:

6801 34TH ST
BERWYN, IL
ZIP 60402-591
Phone: (708) 484-0011
Fax: (708) 484-0549

The provider's authorized official is Roger S Krueger .
The authorized official title is Group Administrator and has the following contact phone number (630) 734-9560.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE8968OTHERILLINOISRAILROAD MEDICARE PIN

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: 11/14/2023

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.