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General NPI Number Information
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NPI Number | 1578440996
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Entity Type | Organization
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Legal Business Name | PRECISION RADIATION MEDICINE LLC
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 8915 W GOLF RD
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City | NILES
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State | IL
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Zip | 60714-5905
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Country | US
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Telephone | 847-345-6654
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Fax |
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Provider Business Mailing Address
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Address Line | 9 DURHAM CT
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City | LAKE FOREST
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State | IL
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Zip | 60045-3416
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Country | US
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Telephone | 847-345-6654
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | RAMJI RAJENDRAN
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Credential | MD
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Telephone | 847-345-6654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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