Organization
RADIATION ONCOLOGY OF KANKAKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALWA F ASAAD MD (OFFICER)
(708) 774-2970
Entity
Organization
Contact information
Practice address
100 PROVENA WAY, SUITE 102, BOURBONNAIS, IL 60914-4796
(815) 937-2460
(815) 937-2031
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 774-2970
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046155057
BCBS IL GROUP#
IL
Enumeration date
11/09/2005
Last updated
07/23/2010
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