Organization Active NPI

Southwest Illinois Health Services, LLP

Doing business as Cancer Treatment Center

  • Specialist
  • Swansea, IL
National Provider Identifier
1851327878
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHWEST ILLINOIS HEALTH SERVICES, LLP
Doing business as
Cancer Treatment Center
Practice address
4000 North Illinois
Suite B
Swansea, IL 62226-1946
Phone
(618) 236-1000
Fax
(618) 236-1299
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Jane Gusmano
Title
Vice President
Phone
(182) 575-6076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

4000 North Illinois
Suite B
Swansea, IL 62226-1946

Mailing address

4000 N Illinois LN
Suite B
Swansea, IL 62226-1965
Phone (618) 236-1000

Other names 1

  • Cancer Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

6810 State Route 162
Ste 307
Maryville, IL 62062
Phone (618) 288-6200

4000 N Illinois Ln
Ste B
Swansea, IL 62226
Phone (618) 236-1000

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1851327878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N ILLINOIS LN",
            "address_2": "SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261965",
            "telephone_number": "618-236-1000",
            "fax_number": "618-236-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NORTH ILLINOIS",
            "address_2": "SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261946",
            "telephone_number": "618-236-1000",
            "fax_number": "618-236-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ILLINOIS HEALTH SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GUSMANO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "182-575-6076"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.