Cancer Care Specialists Of Illinois

LBN: Cancer Care Specialists Of Central Illinois, S.C
Cancer Care Specialists Of Illinois is an health care organization with primary practice located at 210 W Mckinley Ave Ste 6 , Decatur IL 62526-5858. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Cancer Care Specialists Of Central Illinois, S.C can be contacted via phone (217) 329-3239, or through Guaglianone, Perry via phone (217) 876-6600.

Contact Information

Primary practice address
210 W Mckinley Ave Ste 6 Decatur IL 62526-5858
Phone: (217) 329-3239
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guaglianone, Perry Doctor of Medicine (MD)
Phone: (217) 876-6600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1497406219
LBN Legal business name Cancer Care Specialists Of Central Illinois, S.C
DBA Doing business as Cancer Care Specialists Of Illinois
Authorized official Guaglianone, Perry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2022
Last updated Jun 14th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497406219 NPPES
Other 2168603 PK

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