Organization
JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARODE K PUNDALEEKA MD (PRESIDENT)
(815) 725-1355
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, # 2L,TOWER 1, DOWNERS GROVE, IL 60515-1552
(630) 663-0061
(815) 723-8995
Mailing address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036052030
IL
2085N0904X
Nuclear Radiology Physician
036052030
IL
2085R0001X
Radiation Oncology Physician
036052030
IL
2085R0202X
Diagnostic Radiology Physician
036052030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919437
BCBS
IL
Enumeration date
05/11/2009
Last updated
05/11/2009
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