Organization
COOK RADIATION ONCOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH VRAJLAL THAKRAR M.D. (OWNER)
(312) 864-3838
Entity
Organization
Contact information
Practice address
2233 W. DIVISION STREET, CANCER CENTER, CHICAGO, IL 60622
(312) 864-3838
(312) 864-9295
Mailing address
PO BOX 9732, NAPERVILLE, IL 60567-0732
(312) 864-3838
(312) 864-9295
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036046368
IL
Other
Enumeration date
08/05/2011
Last updated
09/24/2020
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