NPI 1003857061
Central Illinois Radiation Oncology Physicians, LTD
Practice location
- Address
- 221 NE Glen Oak Ave, Peoria, IL 61636-0001
- Phone
- (309) 672-5700
- Fax
- (309) 671-2774
- Mailing address
- 108 SW Madison Ave, Peoria, IL 61602-1107
Authorised official
- Name
- Revathi Swaminathan
- Title
- Owner
- Phone
- (309) 671-8749
Registered specialties
Radiation Oncology Physician
Primary
Registry record
- NPI
- 1003857061
- Entity type
- Organization
- NPI issued
- 9 Jun 2006
- Record last updated
- 4 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.