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NPI Code Detail

MEDICARE: TUMOR TREATMENT LTD.

MEDICARE: TUMOR TREATMENT LTD.
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 : 1861447542
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUMOR TREATMENT LTD.
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 : 2233 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-3043
Country : US
Telephone Number : 312-770-2068
Fax Number : 312-770-3182
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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