| NPI | 1417985011 |
|---|---|
| Doing Business As | INTERCOMMUNITY CANCER CENTER OF WESTERN ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | WARREN M WILKINS Medical Director 309-344-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy (Licence: IL 036077270) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-04-30 |