Organization
INTERMED ONCOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUNUS T NOMANBHOY M.D. (PRESIDENT)
(708) 342-1900
Entity
Organization
Contact information
Practice address
6701 159TH ST, SUITE 2, TINLEY PARK, IL 60477-1758
(708) 342-1900
Mailing address
17901 GOVERNORS HWY, SUITE 106, HOMEWOOD, IL 60430-1144
(708) 957-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036042369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616111
BCBS ID
IL
Enumeration date
11/06/2006
Last updated
05/22/2008
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