Organization
JACKSONVILLE ONCOLOGY INSTITUTE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALEEM MAHMOOD MD (PRESIDENT)
(217) 243-8400
Entity
Organization
Contact information
Practice address
567 N WESTGATE AVE, JACKSONVILLE, IL 62650-1156
(217) 243-8400
(217) 245-8700
Mailing address
567 N WESTGATE AVE, PO BOX 797, JACKSONVILLE, IL 62650-1156
(217) 243-8400
(217) 245-8700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006923083
BLUE CROSS BLUE SHIELD
—
05
—
036091247
—
IL
01
—
055808
HEALTH ALLIANCE
—
01
—
920003901
RAILROAD MEDICARE
—
Enumeration date
09/11/2006
Last updated
04/23/2008
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