Organization
RADIATION ONCOLOGY OF CHICAGO, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM DICKLER M.D. (PRESIDENT)
(708) 229-5560
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5560
(708) 229-4712
Mailing address
500 W SUPERIOR ST, UNIT 1701, CHICAGO, IL 60654-8132
(708) 229-5560
(708) 229-4712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
09/18/2013
Last updated
04/11/2014
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