SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC - NPI 1447318050

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

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About Southern Illinois Radiation Oncology Llc NPPES

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

SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC (NPI 1447318050) is a healthcare organization registered as a radiation oncology in Carterville, Illinois and active in the NPI registry since December 2006. The organization lists Michael Little, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1447318050

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameSOUTHERN ILLINOIS RADIATION ONCOLOGY LLC

Location Address1400 PIN OAK DRCarterville, IL 62918-1600

Mailing Address600 West Main Street, Suite 3Carbondale, IL 62901-2604 · (618) 529-3159 · Fax (618) 351-9909

Phone(618) 985-3333

Fax(618) 985-1315

Organization SubpartNo

Authorized OfficialMichael LittleMedical Director · (618) 985-3333

Enumeration DateDecember 5, 2006

Last NPPES UpdateMarch 4, 2019

✔ NPI 1447318050 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.

1400 PIN OAK DR, Carterville, IL 62918

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Other Identifiers 1

Medicaid036078040IL

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