Organization
JOLIET ONCOLOGY HEMATOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARODE PUNDALEEKA MD (PRESIDENT)
(815) 725-1355
Entity
Organization
Contact information
Practice address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9861
Mailing address
2614 W JEFFERSON ST, JOLIET, IL 60435-6433
(815) 725-1355
(815) 725-9867
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919437
BCBS
IL
Enumeration date
10/06/2006
Last updated
10/24/2012
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