Organization
SOUTHWEST HEMATOLOGY-ONCOLOGY CONSULTANT, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ R MITTAL M.D. (OWNER)
(708) 233-5636
Entity
Organization
Contact information
Practice address
6419 WEST 87TH ST, OAK LAWN, IL 60453
(708) 233-5636
(708) 233-5649
Mailing address
6419 WEST 87TH ST, OAK LAWN, IL 60453
(708) 233-5636
(708) 233-5649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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