Organization
NORTHERN ILLINOIS CANCER TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON BERENS (AUTHORIZED OFFICIAL)
(815) 284-1111
Entity
Organization
Contact information
Practice address
327 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-1111
(815) 284-2306
Mailing address
327 IL ROUTE 2, DIXON, IL 61021-9118
(815) 284-1111
(815) 284-2306
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05215222
BLUE SHIELD PROVIDER NUMB
IL
Enumeration date
07/26/2005
Last updated
01/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up