OrganizationActive
Community Cancer Center LLC
NPI 1144506072 · Radiation Oncology Physician · Normal, IL
Provider details
- NPI number
- 1144506072
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Prosser, Executive Director(309) 451-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
407 E. Vernon Avenue
Normal, IL 61761
Phone: (309) 451-8500
Fax: (309) 451-2299
Approximate (ZIP-level) locationGet directions
Mailing address
407 E. Vernon Avenue
Normal, IL 61761
Registry dates
- Enumerated
- 2011-10-24
- Last updated
- 2013-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.