Organization
PEDIATRIC CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAD N SALVI M.D. (PRESIDENT)
(708) 684-4094
Entity
Organization
Contact information
Practice address
4440 W.95TH STREET, OAK LAWN, IL 60453
(708) 684-4094
(708) 684-5141
Mailing address
4440 W.95TH STREET, OAK LAWN, IL 60453
(708) 684-4094
(708) 684-5141
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620238
BC-BS GROUP PROVIDER NUMB
IL
Enumeration date
12/01/2006
Last updated
08/22/2020
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