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SOUTHERN ILLINOIS CANCER CENTER
NPI 1720033046
Radiology - Radiation Oncology in Carterville, IL

Active since May 24, 2006
10286 FLEMING RD, CARTERVILLE, IL 62918(918) 985-4000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois Cancer Center NPPES

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

SOUTHERN ILLINOIS CANCER CENTER (NPI 1720033046) is a healthcare organization registered as a radiation oncology in Carterville, Illinois and active in the NPI registry since May 2006. The organization lists Jack T Sandford, Owner, as its authorized official.

NPPES Registry Identity

NPI1720033046
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameSILOAM LLC
Location Address10286 FLEMING RDCarterville, IL 62918-3351
Mailing Address171 Technology Dr, Suite 200Boalsburg, PA 16827-1530 · (814) 237-8627 · Fax (814) 238-0083
Phone(918) 985-4000
Organization SubpartNo
Authorized OfficialJack T SandfordOwner · (618) 985-4000
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1720033046 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.
10286 FLEMING RD, Carterville, IL 62918
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Other Names 1

Doing Business AsSouthern Illinois Cancer Center

Other Identifiers 3

Other455350IL · Healthlink
Medicaid036104428IL
Other10027422IL · Il Bcbs

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 5

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

CHRISTIAN SOCIAL SERVICES OF ILLINOIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
10286 FLEMING RD
CARTERVILLE, IL 62918
Williamson County (618) 985-2000
SARAH FAULKNER
Social Worker
10286 FLEMING RD
CARTERVILLE, IL 62918
Williamson County (618) 985-2000
JACK T SANDFORD MD
Radiology (Radiation Oncology)
10286 FLEMING RD
CARTERVILLE, IL 62918
Williamson County (618) 985-4000
JILL ELIZABETH MORTHLAND MSW
Social Worker
10286 FLEMING RD
CARTERVILLE, IL 62918
Williamson County (618) 985-2000
RHONDA KOSMICKI MSW
Counselor (Mental Health)
10286 FLEMING RD
CARTERVILLE, IL 62918
Williamson County (618) 985-2000

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 Siloam LLC's NPI number?

The NPI number for Siloam LLC is 1720033046. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Southern Illinois Cancer Center.

Where is Siloam LLC located?

Siloam LLC is located at 10286 Fleming Rd, Carterville, IL 62918. The listed phone number is (918) 985-4000.

What is Siloam LLC'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 Siloam LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.