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Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Active
Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Active
Other names
Illinois Cancer Caer PC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLOW (PHARMACY MANAGER)
(309) 243-3405
Entity
Organization
Contact information
Practice address
336 HOME BLVD, GALESBURG, IL 61401-7408
(309) 243-3017
(309) 343-2084
Mailing address
336 HOME BLVD, GALESBURG, IL 61401-7408
(309) 243-3017
(309) 343-2084
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.018690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149797
PK
—
Enumeration date
01/23/2015
Last updated
01/23/2015
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