Organization
SOUTHWEST ILLINOIS HEALTH SERVICES, LLP
Active
Other names
Cancer Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE GUSMANO (VICE PRESIDENT)
(182) 575-6076
Entity
Organization
Contact information
Practice address
4000 NORTH ILLINOIS, SUITE B, SWANSEA, IL 62226-1946
(618) 236-1000
(618) 236-1299
Mailing address
4000 N ILLINOIS LN, SUITE B, SWANSEA, IL 62226-1965
(618) 236-1000
(618) 236-1299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
06/23/2006
Last updated
07/18/2019
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