Organization
ONCOLOGY SPECIALISTS SC
Active
Other names
JON M RICHARDS MD
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY WALTERS (FINANCIAL DIRECTOR)
(847) 268-8200
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE, NILES, IL 60714-3159
(847) 268-8200
(847) 268-8030
Mailing address
PO BOX 736, PARK RIDGE, IL 60068-0736
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1478850
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
36069241
—
IL
Enumeration date
02/27/2007
Last updated
07/13/2007
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