Organization
HI TECH RADIATION ONCOLOGY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTI S KALRA M.D. (PRESIDENT)
(815) 431-1800
Entity
Organization
Contact information
Practice address
601 W NORRIS DR STE B, OTTAWA, IL 61350-1381
(815) 431-1800
Mailing address
42 S ROYAL OAKS DR, BRISTOL, IL 60512-9705
(815) 431-1800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036063005
IL
Other
Enumeration date
10/03/2007
Last updated
06/09/2008
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