| NPI | 1194220897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MOISAN Chairperson & President 708-873-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |