Organization
COMMUNITY CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PROSSER (EXECUTIVE DIRECTOR)
(309) 451-8500
Entity
Organization
Contact information
Practice address
407 E. VERNON AVENUE, NORMAL, IL 61761
(309) 451-8500
(309) 451-2299
Mailing address
407 E. VERNON AVENUE, NORMAL, IL 61761
(309) 451-8500
(309) 451-2231
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
11/20/2013
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