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 4391 Venture Dr , Peru IL 61354-1018. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic 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) 243-3403, or through Harlow, Jason via phone (309) 243-3404.

Contact Information

Primary practice address
4391 Venture Dr Peru IL 61354-1018
Phone: (309) 243-3403
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 / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 054019849 Illinois
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1700232394
LBN Legal business name Oncology-Hematology Associates Of Central Illinois P C
DBA Doing business as Illinois Cancer Care, Pc
Authorized official Harlow, Jason
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated Mar 24th, 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 1700232394 NPPES
Other 2160136 PK

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