# NORTHERN ILLINOIS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHERN ILLINOIS UNIVERSITY
- **Other names:** Northern Illinois University Institute for Neutron Therapy at Fermilab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144327487
- **Legal business name:** NORTHERN ILLINOIS UNIVERSITY
- **Authorized official:** JOHN PETERS PHD (PRESIDENT)
- **Authorized official phone:** (815) 753-9500

## Contact information

- **Practice address:** KIRK AND PINE RD, BATAVIA, IL 60510
- **Practice address phone:** (630) 840-3865
- **Mailing address:** 307 LOWDEN HALL, NIU OUTREACH, DEKALB, IL 60115-3080
- **Mailing address phone:** (815) 753-0924
- **Mailing address fax:** (815) 753-0666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 05/13/2008