Organization
VALLEY CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEELIMA D KABRE MD (PRESIDENT)
(815) 664-4141
Entity
Organization
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362
(815) 664-4141
(815) 663-1818
Mailing address
PO BOX 15040, EVANSVILLE, IN 47716-0040
(812) 962-6413
(812) 477-4153
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL1703
RR MEDICARE
IL
Enumeration date
01/06/2006
Last updated
12/12/2007
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