Skan LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

75-3247165 Issued in IL

Legal business name

SKAN LLC

Practice address

3425 Drew Avenue
Suite a
Sandwich, IL 60548-2351

Phone

(815) 570-5006

Fax

(815) 846-1100

NPI assigned

Jul 5, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin A Khater, MD, PHD

Title

Director

Phone

(815) 666-5748

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1316202344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 DREW AVENUE",
            "address_2": "SUITE A",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482351",
            "telephone_number": "815-570-5006",
            "fax_number": "815-846-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 DREW AVENUE",
            "address_2": "SUITE A",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482351",
            "telephone_number": "815-570-5006",
            "fax_number": "815-846-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "KHATER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-666-5748",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "IL",
            "license": "75-3247165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Clinic/Center in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Radiation Oncology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.