Organization
LINDENHURST RADIATION ONCOLOGY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASHBIR MEHTA M.D. (PRESIDENT)
(847) 623-2114
Entity
Organization
Contact information
Practice address
4 BROADLEYS CT, BANNOCKBURN, IL 60015-1511
(847) 623-2114
(847) 623-4628
Mailing address
500 RAVINIA PL, ORLAND PARK, IL 60462-3758
(708) 460-9833
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036044625
IL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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