COMMUNITY CANCER CENTER LLC – NPI #1144506072
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

COMMUNITY CANCER CENTER LLC is a radiologist located in NORMAL, IL. NPPES has assigned the NPI number 1144506072 to COMMUNITY CANCER CENTER LLC on October 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 13 years ago on Nov 20, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY CANCER CENTER LLC below.

NPI Profile for
COMMUNITY CANCER CENTER LLC

NPI Number
1144506072
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CANCER CENTER LLC
Primary location
407 E. VERNON AVENUE
NORMAL, IL 61761
Phone: (309) 451-8500 Fax: (309) 451-2299
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH PROSSER
EXECUTIVE DIRECTOR
Phone: (309) 451-8500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.