Organization
NUCLEAR ONCOLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER S KRUEGER (GROUP ADMINISTRATOR)
(630) 734-9560
Entity
Organization
Contact information
Practice address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 730-3537
(815) 730-3020
Mailing address
PO BOX 74, HIAWATHA, IA 52233-0074
(319) 826-3763
(888) 609-6019
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF6040
RAILROAD MEDICARE PIN
IL
Enumeration date
07/08/2006
Last updated
07/21/2022
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