SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC – NPI #1447318050
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.

SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC is a radiologist located in CARTERVILLE, IL. NPPES has assigned the NPI number 1447318050 to SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC on December 05, 2006. 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 7 years ago on Mar 04, 2019. 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 SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC below.

NPI Profile for
SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC

NPI Number
1447318050
Enumeration Date

(more than 19 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
SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC
Primary location
1400 PIN OAK DR
CARTERVILLE, IL 62918-1600
Phone: (618) 985-3333 Fax: (618) 985-1315
Mailing address
600 WEST MAIN STREET
SUITE 3
CARBONDALE, IL 62901-2604
Phone: (618) 529-3159 Fax: (618) 351-9909
Organization Subpart
No
Authorized Official
MICHAEL LITTLE
MEDICAL DIRECTOR
Phone: (618) 985-3333
Updated
Identifiers

Identifiers for SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036078040
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.