Cancer Care Specialists Of Central Illinois, S.C.

LBN: Cancer Care Specialists Of Central Illinois, S.C.
Cancer Care Specialists Of Central Illinois, S.C. is an health care organization with primary practice located at 210 W Mckinley Ave Suite 1, Decatur IL 62526-5858. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Medical Oncology is the primary health care specialty. Cancer Care Specialists Of Central Illinois, S.C. can be contacted via phone (217) 876-6600, or through Floyd, Justin D via phone (618) 416-7970.

Contact Information

Primary practice address
210 W Mckinley Ave Suite 1 Decatur IL 62526-5858
Phone: (217) 876-6600
Fax: (217) 876-6606
Website:
Map and Directions
Authorized official contact:
Name: Floyd, Justin D Doctor of Medicine (MD)
Phone: (618) 416-7970

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 042005607 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 042005607 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 042005607 Illinois

Profile Details

NPI number 1871580142
LBN Legal business name Cancer Care Specialists Of Central Illinois, S.C.
DBA Doing business as
Authorized official Floyd, Justin D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 14th, 2024 - about 3 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 1871580142 NPPES
Illinois Other 0005815189 BLUE CROSS/BLUE SHIELD OF

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