Organization
SURGICAL ONCOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANLUCA LAZZARO MD (PRESIDENT)
(312) 643-0811
Entity
Organization
Contact information
Practice address
100 E BELLEVUE PL, 19B, CHICAGO, IL 60611-1157
(312) 643-0811
(312) 643-0811
Mailing address
100 E BELLEVUE PL, 19B, CHICAGO, IL 60611-1157
(312) 643-0811
(312) 643-0811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
12/24/2009
Last updated
04/09/2010
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