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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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