Organization
HARRISBURG CANCER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALY A. RAZEK MEDICAL DOCTOR (PRESIDENT)
(618) 252-5126
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, HARRISBURG, IL 62946-2453
(618) 252-5126
(618) 252-0135
Mailing address
PO BOX 15040, EVANSVILLE, IN 47716-0040
(812) 476-1367
(812) 477-4153
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300262019
—
IL
01
—
CN1378
RR MEDICARE
IL
Enumeration date
05/12/2006
Last updated
09/15/2008
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