Organization
SHANKAR C SANWALANI MD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANKAR C SANWALANI M.D. (PRESIDENT)
(708) 915-6620
Entity
Organization
Contact information
Practice address
1 INGALLS DR, CANCER CARE CENTER, HARVEY, IL 60426-3558
(708) 915-6620
(708) 915-3782
Mailing address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031602061
BCBSIL GROUP NUMBER
—
Enumeration date
10/24/2005
Last updated
11/25/2009
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