1. Home
  2. Directory
  3. Illinois
  4. Hazel Crest
  5. Radiology
  6. NPI Profile

SOUTH SUBURBAN CANCER CENTER
NPI 1093796336
Radiology - Radiation Oncology in Hazel Crest, IL

Active since November 11, 2005
17750 KEDZIE AVE, HAZEL CREST, IL 60429(708) 799-9995(708) 799-8129 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Suburban Cancer Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SUBURBAN CANCER CENTER (NPI 1093796336) is a healthcare organization registered as a radiation oncology in Hazel Crest, Illinois and active in the NPI registry since November 2005. The organization lists Jayant V Ginde, Officer, as its authorized official.

NPPES Registry Identity

NPI1093796336
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameINTER-COMMUNITY RADIATION ONCOLOGY SC
Location Address17750 KEDZIE AVEHazel Crest, IL 60429-2047
Mailing AddressPo Box 15040Evansville, IN 47716-0040 · (812) 962-6413 · Fax (812) 471-9282
Phone(708) 799-9995
Fax(708) 799-8129
Organization SubpartNo
Authorized OfficialJayant V GindeOfficer · (708) 799-9995
Enumeration DateNovember 11, 2005
Last NPPES UpdateJune 20, 2008
✔ NPI 1093796336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
17750 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Other Names 1

Other NameSouth Suburban Cancer Center

Other Identifiers 3

OtherCM3780IL · Rr Medicare Group #
Medicare PIN955240IL
Other0031603263IL · Bcbs Of Il

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIE ANN DINEEN RTT
Radiologic Technologist (Radiation Therapy)
17750 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 799-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inter-Community Radiation Oncology Sc's NPI number?

The NPI number for Inter-Community Radiation Oncology Sc is 1093796336. It was assigned to this organization in the NPPES registry on November 11, 2005. The provider is also known as South Suburban Cancer Center.

Where is Inter-Community Radiation Oncology Sc located?

Inter-Community Radiation Oncology Sc is located at 17750 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 799-9995.

What is Inter-Community Radiation Oncology Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Inter-Community Radiation Oncology Sc was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.