Organization
ALLIANCE ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRAIG WEEKS (CFO)
(256) 383-3325
Entity
Organization
Contact information
Practice address
15055 COLLECTION CENTER DR, CHICAGO, IL 60693-0150
(256) 383-3325
(256) 383-5911
Mailing address
15055 COLLECTION CENTER DR, CHICAGO, IL 60693-0001
(256) 383-3325
(256) 383-5911
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103080
—
AL
05
—
200205160 A
—
OK
05
—
508418100
—
MO
01
—
510G700087
MEDICARE AL GROUP
AL
Enumeration date
09/12/2007
Last updated
04/01/2014
Update your record
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