Organization
CONNECTICUT PROTON THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES YOO (VICE PRESIDENT)
(630) 649-4060
Entity
Organization
Contact information
Practice address
932 NORTHOP ROAD, WALLINGFORD, CT 06492
(630) 649-4060
(312) 896-9537
Mailing address
23472 N SANCTUARY CLUB DR, KILDEER, IL 60047-8626
(630) 649-4060
(312) 896-9537
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QX0200X
Oncology Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
01/31/2025
Last updated
11/19/2025
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