Organization Active NPI

Valley Cancer Center

  • Radiation Oncology Physician
  • Spring Valley, IL
National Provider Identifier
1033197207
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
VALLEY CANCER CENTER
Practice address
600 E 1St St
Spring Valley, IL 61362
Phone
(815) 664-4141
Fax
(815) 663-1818
NPI assigned
Jan 6, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neelima D Kabre, MD
Title
President
Phone
(815) 664-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X IL Primary

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362

Mailing address

PO Box 15040
Evansville, IN 47716-0040
Phone (812) 962-6413

Other identifiers 1

IdentifierTypeStateIssuer
CL1703OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

614 S Bloomington St
Streator, IL 61364
Phone (815) 664-4141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1033197207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160040",
            "telephone_number": "812-962-6413",
            "fax_number": "812-477-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "61362",
            "telephone_number": "815-664-4141",
            "fax_number": "815-663-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KABRE",
        "authorized_official_first_name": "NEELIMA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-664-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CL1703",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.