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NPI Code Detail

MEDICARE: QUALITY CANCER TREATMENT

MEDICARE: QUALITY CANCER TREATMENT
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
12085R0203XTherapeutic Radiology Physician036045136IL

General Provider Information

NPI Number : 1932154614
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY CANCER TREATMENT
Provider Business Mailing Address
First Line : 609 SHERIDAN RD
Second Line :
City : GLENCOE
State : IL
Zip : 60022-1742
Country : US
Telephone Number : 312-842-7309
Fax Number : 312-842-7491
Provider Business Practice Location Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-975-3252
Fax Number : 773-975-3200
Authorized Official
Title or Position : OWNER
Name : DEAN MOHAMMAD AMEEN
Credential : M.D.
Telephone Number : 312-842-7309
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/13/2009

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Directions to “QUALITY CANCER TREATMENT ” Practice Location

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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.

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