| NPI | 1174200174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN FOUNTAIN VP Revenue Cycle 773-834-5895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-09-26 |