Organization
JOLIET ONCOLOGY HEMATOLOGY ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARODE K PUNDALEEKA MD (PRESIDENT/OWNER)
(815) 725-1355
Entity
Organization
Contact information
Practice address
420 REMINGTON BLVD, SUITE 230, BOLINGBROOK, IL 60440
(630) 759-7553
(630) 759-7558
Mailing address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9857
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036052030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919437
BCBS
IL
Enumeration date
03/31/2010
Last updated
06/25/2010
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