Illinois Cancer Care

LBN: Oncology Hematology Associates Of Central Illinois
Illinois Cancer Care is an health care organization with primary practice located at 3105 Magory Drive , Bloomington IL 61704. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Oncology Hematology Associates Of Central Illinois can be contacted via phone (309) 243-9018, or through Harlow, Jason via phone (309) 243-3404.

Contact Information

Primary practice address
3105 Magory Drive Bloomington IL 61704
Phone: (309) 243-9018
Fax: (309) 243-3075
Website:
Map and Directions
Authorized official contact:
Name: Harlow, Jason
Phone: (309) 243-3404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.019361 Illinois

Profile Details

NPI number 1740662949
LBN Legal business name Oncology Hematology Associates Of Central Illinois
DBA Doing business as Illinois Cancer Care
Authorized official Harlow, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2015
Last updated Jun 24th, 2015 - about 9 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 1740662949 NPPES
Other 2152589 PK

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