Active NPI
Harrisburg Cancer Center Inc
- Radiation Oncology Physician
- Harrisburg, IL
National Provider Identifier
1972553550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- HARRISBURG CANCER CENTER INC
- Practice address
- 20 Hospital Dr
Harrisburg, IL 62946-2453 - Phone
- (618) 252-5126
- Fax
- (618) 252-0135
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aly A. Razek, MEDICAL DOCTOR
- Title
- President
- Phone
- (618) 252-5126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
20 Hospital Dr
Harrisburg, IL 62946-2453
Mailing address
PO Box 15040
Evansville, IN 47716-0040
Phone (812) 476-1367
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN1378 | Other | IL | RR MEDICARE |
| 3300262019 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
20 Hospital Dr
Harrisburg, IL 62946
Phone (618) 252-5126
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1972553550",
"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": "812-476-1367",
"fax_number": "812-477-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629462453",
"telephone_number": "618-252-5126",
"fax_number": "618-252-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISBURG CANCER CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "RAZEK",
"authorized_official_first_name": "ALY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-252-5126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CN1378",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3300262019",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.