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INTERCOMMUNITY CANCER CENTER OF WESTERN ILLINOIS
NPI 1417985011
Radiologic Technologist - Radiation Therapy in Galesburg, IL

Active since June 30, 2006
450 MAYO DR, GALESBURG, IL 61401(309) 344-2831(309) 344-2014 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Intercommunity Cancer Center Of Western Illinois NPPES

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

INTERCOMMUNITY CANCER CENTER OF WESTERN ILLINOIS (NPI 1417985011) is a healthcare organization registered as a radiation therapy in Galesburg, Illinois and active in the NPI registry since June 2006. The organization lists Warren M Wilkins, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417985011
Entity TypeOrganization
Primary Taxonomy2471R0002X
Legal Business NameWESTERN ILLINOIS CANCER TREATMENT CENTER
Location Address450 MAYO DRGalesburg, IL 61401-1211
Mailing Address450 Mayo DrGalesburg, IL 61401-1211 · (309) 344-2831 · Fax (309) 344-2014
Phone(309) 344-2831
Fax(309) 344-2014
Organization SubpartNo
Authorized OfficialWarren M WilkinsMedical Director · (309) 344-2831
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 30, 2008
✔ NPI 1417985011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · Radiation TherapyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471R0002X
License✔ Licensed in IL · 036077270
Definition
A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care.
450 MAYO DR, Galesburg, IL 61401
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Other Names 1

Doing Business AsIntercommunity Cancer Center Of Western Illinois

Other Identifiers 5

OtherCM5868IL · Railroad Medicare
Other007799Health Alliance
Other014885IL · Health Alliance Ins.
Other04815059Blue Cross Blue Shield
Medicare PIN768730IL

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.

DR. WARREN MATTHEW WILKINS M.D.
Specialist
450 MAYO DR
GALESBURG, IL 61401
Knox County (309) 344-2831

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 Western Illinois Cancer Treatment Center's NPI number?

The NPI number for Western Illinois Cancer Treatment Center is 1417985011. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Intercommunity Cancer Center Of Western Illinois.

Where is Western Illinois Cancer Treatment Center located?

Western Illinois Cancer Treatment Center is located at 450 Mayo Dr, Galesburg, IL 61401. The listed phone number is (309) 344-2831.

What is Western Illinois Cancer Treatment Center's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiation Therapy, with taxonomy code 2471R0002X.

When was this NPI record last updated?

The NPPES record for Western Illinois Cancer Treatment Center was last updated on April 30, 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.