Organization
JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARODE K PUNDALEEKA M.D. (PRESIDENT)
(815) 725-1355
Entity
Organization
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(815) 725-1355
(815) 725-9861
Mailing address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919437
BCBS
IL
Enumeration date
09/09/2008
Last updated
09/09/2008
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