St James Comprehensive Cancer Institute | |
3900 W 203rd St Olympia Fields IL 60461-1183 | |
(708) 747-4000 | |
Not Available |
Full Name | St James Comprehensive Cancer Institute |
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Speciality | Family Medicine |
Location | 3900 W 203rd St, Olympia Fields, Illinois |
Authorized Official Name and Position | Thomas Senesac (TREASURER) |
Authorized Official Contact | 7087561000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St James Comprehensive Cancer Institute 1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 Ph: (708) 756-1000 | St James Comprehensive Cancer Institute 3900 W 203rd St Olympia Fields IL 60461-1183 Ph: (708) 747-4000 |
NPI Number | 1144523994 |
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Provider Enumeration Date | 12/17/2010 |
Last Update Date | 12/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144523994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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