DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK T SANDFORD, MD

Active Sole Proprietor

JACK T SANDFORD, MD is a Radiation Oncology healthcare provider located in CARTERVILLE, Illinois. NPI 1801835913 is currently active in the NPPES registry. Verify at CMS.

Radiation Oncology · CARTERVILLE, IL

Registration Details

NPI Number
1801835913
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.237084452643 yrs)
Last Updated
Oct 26, 2007
License
036104428 (IL)
Sole Proprietor
Yes

Practice Information

Address
10286 FLEMING RD
CARTERVILLE, IL, 629183351
Browse IL providers · Browse ZIP 62918
Phone
6189854000
Fax
6189854155
Primary Specialty
Radiation Oncology
2085R0001X

Other Radiation Oncology Providers in CARTERVILLE, IL

Name Credential NPI
DR. MICHAEL LITTLE M.D. 1093915902
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.