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Organization
SKAN LLC
Active
Organization
SKAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A KHATER MD, PHD (DIRECTOR)
(815) 666-5748
Entity
Organization
Contact information
Practice address
3425 DREW AVENUE, SUITE A, SANDWICH, IL 60548-2351
(815) 570-5006
(815) 846-1100
Mailing address
3425 DREW AVENUE, SUITE A, SANDWICH, IL 60548-2351
(815) 570-5006
(815) 846-1100
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
75-3247165
IL
Other
Enumeration date
07/05/2012
Last updated
09/06/2012
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