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Organization

CONSULTANTS IN RADIATION ONCOLOGY S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J. DAVID MORGAN III MD (OFFICER)
(708) 684-5475
Entity
Organization

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5475
(708) 684-3055
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 774-2970
(708) 349-6769

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01615972
BCBSIL GROUP#
IL
01
CF6552
RR MEDICARE GROUP #
IL
Enumeration date
11/11/2005
Last updated
07/23/2010
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