Organization
TRI-COUNTY RADIATION ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEEDIPALLEY L REDDY (ADMINISTRATOR)
(630) 323-6766
Entity
Organization
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-5750
(630) 214-2069
Mailing address
PO BOX 3097, OAK BROOK, IL 60522-3097
(630) 323-6766
(630) 214-2069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205844958
NPI NUMBER
—
01
—
12962539759
NPI NUMBER
—
Enumeration date
05/21/2007
Last updated
08/22/2020
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