Organization
ADVANCED RADIATION ONCOLOGY CENTER OF ILLINOIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASHBIR MEHTA MD (OFFICER)
(847) 623-2114
Entity
Organization
Contact information
Practice address
95 N GREENLEAF ST, SUITE A, GURNEE, IL 60031-3309
(847) 623-2114
(847) 623-4628
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9833
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L97119
YASHBIR MEHTA, MD - MDCR
IL
01
—
L97120
PARVATHY KURUP, MD - MDCR
IL
Enumeration date
11/03/2005
Last updated
05/03/2019
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