Illinois Cancer Care Pc

LBN: Oncology-Hematology Associates Of Central Illinois P C
Illinois Cancer Care Pc is an health care organization with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Oncology-Hematology Associates Of Central Illinois P C can be contacted via phone (309) 243-3405, or through Harlow, Jason via phone (309) 243-3404.

Contact Information

Primary practice address
8940 N Wood Sage Rd Peoria IL 61615-7822
Phone: (309) 243-3405
Fax: (309) 243-3075
Website:
Map and Directions
Authorized official contact:
Name: Harlow, Jason PHARMD
Phone: (309) 243-3404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054016528 Illinois
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1053463059
LBN Legal business name Oncology-Hematology Associates Of Central Illinois P C
DBA Doing business as Illinois Cancer Care Pc
Authorized official Harlow, Jason PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Feb 21st, 2017 - about 7 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 1053463059 NPPES
Illinois MEDICAID 1053463059
Illinois Other 2133812

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