Midwest Center For Cancer & Blood, Sc

LBN: Midwest Center For Cancer & Blood, Sc
Midwest Center For Cancer & Blood, Sc is an health care organization with primary practice located at 15 W Pleasant Ave , Sandwich IL 60548-1050. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Midwest Center For Cancer & Blood, Sc can be contacted via phone (815) 786-9197, or through Kola, Ramesh via phone (815) 786-9197.

Contact Information

Primary practice address
15 W Pleasant Ave Sandwich IL 60548-1050
Phone: (815) 786-9197
Fax: (815) 786-9199
Website:
Map and Directions
Authorized official contact:
Name: Kola, Ramesh Doctor of Medicine (MD)
Phone: (815) 786-9197

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 042-618670 Illinois

Profile Details

NPI number 1366537292
LBN Legal business name Midwest Center For Cancer & Blood, Sc
DBA Doing business as
Authorized official Kola, Ramesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 11th, 2013 - about 12 years 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 1366537292 NPPES
Other 14D1047350 CLIA #

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