Organization
RADIATION THERAPY CONSULTANTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED JAVED SHIRAZI (PRESIDENT)
(708) 448-9393
Entity
Organization
Contact information
Practice address
7800 W 122ND ST, PALOS HEIGHTS, IL 60463-1279
(708) 448-9393
(708) 448-7530
Mailing address
7800 W 122ND ST, PALOS HEIGHTS, IL 60463-1279
(708) 448-9393
(708) 448-7530
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617572
BLUE CROSS & BLUE SHIELD
IL
01
—
CD6209
PALMETTO GBA-RR MEDICARE
IL
Enumeration date
05/31/2006
Last updated
08/22/2020
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