DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHERN ILLINOIS CANCER TREATMENT CENTER

MEDICARE: NORTHERN ILLINOIS CANCER TREATMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105215222OTHERILBLUE SHIELD PROVIDER NUMB

General Provider Information

NPI Number : 1386644995
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN ILLINOIS CANCER TREATMENT CENTER
Provider Business Mailing Address
First Line : 327 IL ROUTE 2
Second Line :
City : DIXON
State : IL
Zip : 61021-9118
Country : US
Telephone Number : 815-284-1111
Fax Number : 815-284-2306
Provider Business Practice Location Address
First Line : 327 IL ROUTE 2
Second Line :
City : DIXON
State : IL
Zip : 61021-9118
Country : US
Telephone Number : 815-284-1111
Fax Number : 815-284-2306
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JON BERENS
Credential :
Telephone Number : 815-284-1111
Provider Enumeration Date : 07/26/2005
Last Update Date : 01/02/2024

Similar Medicare Providers

1265377717 — MR. ANTHONY CASTILLO MSED
Practice Location Address:
325 ILLINOIS RT 2
DIXON, IL
61021-9118
Practice Phone: 815-284-6611
Practice Fax:
1780528125 — KAYLA SWARD
Practice Location Address:
325 IL ROUTE 2
DIXON, IL
61021-9118
Practice Phone: 815-339-5750
Practice Fax:
1700583572 — MELANIE HAZELWOOD RN
Practice Location Address:
325 IL ROUTE 2
DIXON, IL
61021-9118
Practice Phone: 815-284-6611
Practice Fax:
1922114115 — SINNISSIPPI CENTERS, INC.
Practice Location Address:
325 IL ROUTE 2
DIXON, IL
61021-9118
Practice Phone: 815-284-6611
Practice Fax: 815-284-2834
1518073139 — MRS. MARY ANN SCUFFHAM RNC
Practice Location Address:
325 IL ROUTE 2
DIXON, IL
61021-9118
Practice Phone: 815-284-6611
Practice Fax: 815-284-2834
1992814792 — MR. THOMAS JAMES HERMES LCSW
Practice Location Address:
325 IL ROUTE 2
DIXON, IL
61021-9118
Practice Phone: 815-284-6611
Practice Fax: 815-284-2834

Directions to “NORTHERN ILLINOIS CANCER TREATMENT CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.