Organization
ILLINOIS RADIATION ONCOLOGY CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MUDD (ADMINISTRATOR)
(217) 324-1100
Entity
Organization
Contact information
Practice address
208 FLAX DR STE 100, HIGHLAND, IL 62249-1396
(618) 882-5621
Mailing address
PO BOX 483, LITCHFIELD, IL 62056-0483
(217) 324-1100
(217) 324-1103
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
03/05/2021
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