Organization
NORTHWEST CANCER CENTERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD KASSAR (PRESIDENT)
(219) 924-8178
Entity
Organization
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
(219) 924-8314
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
(219) 924-8314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200448210
—
IN
Enumeration date
04/13/2006
Last updated
10/14/2025
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