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Organization
SOUTH CAMPUS PARTNERS, INC.
Active
Organization
SOUTH CAMPUS PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE MOISAN M.D. (CHAIRPERSON & PRESIDENT)
(708) 873-2450
Entity
Organization
Contact information
Practice address
15300 WEST AVE BLDG A, ORLAND PARK, IL 60462-4600
(708) 873-2450
(708) 873-2455
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3708
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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