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SKAN LLC
NPI 1316202344
Clinic/Center - Oncology, Radiation in Sandwich, IL

Active since July 05, 2012
3425 DREW AVENUE, SUITE A, SANDWICH, IL 60548(815) 570-5006(815) 846-1100 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Oncology, Radiation

About SKAN LLC

This page provides the complete NPI Profile along with additional information for Skan Llc, a provider established in Sandwich, Illinois operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1316202344 assigned on July 2012. The practitioner's primary taxonomy code is 261QX0203X with license number 75-3247165 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kevin A Khater Md, Phd (Director)

NPI
1316202344 Verify this NPI
Provider Name
SKAN LLC
Entity Type
Organization
Location Address
3425 DREW AVENUE SUITE A SANDWICH, IL 60548
Location Phone
(815) 570-5006
Location Fax
(815) 846-1100
Mailing Address
3425 DREW AVENUE SUITE A SANDWICH, IL 60548
Mailing Phone
(815) 570-5006
Mailing Fax
(815) 846-1100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2012
Last Update Date
09-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology, Radiation

Taxonomy Code
261QX0203X
Type
Ambulatory Health Care Facilities
License No.
75-3247165
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN A KHATER MD, PHD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(815) 666-5748

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Frequently Asked Questions

What is SKAN LLC's NPI number?

The NPI number assigned to this healthcare provider is 1316202344, enumerated as an "organization" on July 05, 2012.

Where is the provider located?

The provider is located at 3425 DREW AVENUE SUITE A SANDWICH, IL 60548 and the phone number is (815) 570-5006.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.