Organization
SUBURBAN RADIATION ONCOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIR J. SHAH MD (PRESIDENT)
(708) 747-4900
Entity
Organization
Contact information
Practice address
3900 W. BURKE DRIVE, OLYMPIA FIELDS, IL 60461
(708) 747-4900
Mailing address
PO BOX 226, OLYMPIA FIELDS, IL 60461-0226
(708) 482-4949
(708) 482-4949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
11/14/2007
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