Provider Demographics
NPI:1568943637
Name:JOLIET ONCOLOGY-HEMATOLOGY ASSOCIATES LTD
Entity Type:Organization
Organization Name:JOLIET ONCOLOGY-HEMATOLOGY ASSOCIATES LTD
Other - Org Name:REFLECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARVEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-730-3023
Mailing Address - Street 1:2614 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6433
Mailing Address - Country:US
Mailing Address - Phone:815-725-1355
Mailing Address - Fax:815-725-9861
Practice Address - Street 1:2614 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6433
Practice Address - Country:US
Practice Address - Phone:815-725-1355
Practice Address - Fax:815-725-9861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOLIET ONCOLOGY-HEMATOLOGY ASSOCIATES LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies