Organization
COOK COUNTY RADIATION ONCOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL O. HOLLOWAY MD (CHAIRMAN)
(773) 947-7850
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, BASEMENT, CHICAGO, IL 60649-3954
(773) 947-7850
(773) 947-7852
Mailing address
3400 N LAKE SHORE DR, UNIT 9-B, CHICAGO, IL 60657-2827
(773) 947-7850
(773) 947-7852
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-073542
IL
Other
Enumeration date
04/01/2009
Last updated
04/16/2009
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