Organization
RADIATION MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BLOOMER M.D. (PRESIDENT/RADIATION MEDICINE INST.)
(847) 570-2590
Entity
Organization
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(814) 570-2590
(847) 570-1878
Mailing address
9818 EAGLE WAY, CHICAGO, IL 60678-1098
(630) 285-1530
(630) 285-1490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-083680
IL
Other
Enumeration date
09/28/2006
Last updated
04/16/2013
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