Community Cancer Center Llc

NPI 1144506072 - Radiology - 2085R0001X

NPI Details
NPI 1144506072
Enumeration Date 10/24/2011
Last Updated 11/20/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOSEPH JOSEPH
Position EXECUTIVE DIRECTOR
Phone (309) 451-8500
Fax (309) 451-2299
Practice Location
407 E. VERNON AVENUE
NORMAL IL, 61761, US
Phone (309) 451-8500
Fax (309) 451-2299
Business Location
407 E. VERNON AVENUE
NORMAL IL, 61761, US
Phone (309) 451-8500
Fax (309) 451-2231
Toxanomy
Taxonomy Code 2085R0001X
License State
License Number
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According to our database, Community Cancer Center Llc NPI is 1144506072, taxonomy code is 2085R0001X Community Cancer Center Llc physically located at 407 E. Vernon Avenue, Normal IL, 61761. NPI Number 1033115704 has the healthcare provider type.

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1144506072 NPI number is provided on an as is basis without warranty of any kind. 1144506072 is maintained by the National Plan & Provider Enumeration System. The contents of Community Cancer Center Llc are for informational purposes only.