Organization
LITCHFIELD ONCOLOGY INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM MAHMOOD MD (PRESIDENT)
(217) 324-1100
Entity
Organization
Contact information
Practice address
1201 EAST UNION AVENUE, LITCHFIELD, IL 62056
(217) 324-1100
(217) 324-1103
Mailing address
PO BOX 483, LITCHFIELD, IL 62056-0483
(217) 324-1100
(217) 324-1103
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006832012
BLUE CROSS BLUE SHIELD
—
05
—
036091247
—
IL
01
—
920006658
RAILROAD MEDICARE
—
01
—
DN6303
RAILROAD MEDICARE PTAN
IL
Enumeration date
09/11/2006
Last updated
02/09/2023
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