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Individual

ALEC BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2160 SOUTH FIRST AVE, LOYOLA RADATION ONCOLOGY, MAYWOOD, IL 60153
(708) 216-2729
(708) 216-5924
Mailing address
2160 SOUTH FIRST AVE, LOYOLA RADATION ONCOLOGY, MAYWOOD, IL 60153
(708) 216-2729
(708) 216-5924

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036142638
IL
2085R0001X
Radiation Oncology Physician
125061878
IL

Other

Enumeration date
08/08/2012
Last updated
04/01/2021
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