Organization
RADIATION ONCOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED JAVED SHIRAZI M.D. (PRESIDENT)
(708) 448-9393
Entity
Organization
Contact information
Practice address
17333 LA GRANGE RD STE 100, TINLEY PARK, IL 60487-7510
(708) 748-9918
(708) 448-7530
Mailing address
17333 LA GRANGE RD STE 100, TINLEY PARK, IL 60487-7510
(708) 748-9918
(708) 448-7530
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
042002397
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615960
BLUE CROSS & BLUE SHIELD
IL
01
—
CM3238
PALMETTO GBA-RR MEDICARE
IL
Enumeration date
06/04/2006
Last updated
05/24/2019
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