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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053463059 | NPPES |
| Illinois | MEDICAID | 1053463059 | |
| Illinois | Other | 2133812 |
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