# ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illinois Cancer Caer PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477943819
- **Authorized official:** JASON HARLOW (PHARMACY MANAGER)
- **Authorized official phone:** (309) 243-3405

## Contact information

- **Practice address:** 336 HOME BLVD, GALESBURG, IL 61401-7408
- **Practice address phone:** (309) 243-3017
- **Practice address fax:** (309) 343-2084
- **Mailing address:** 336 HOME BLVD, GALESBURG, IL 61401-7408
- **Mailing address phone:** (309) 243-3017
- **Mailing address fax:** (309) 343-2084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.018690 | IL | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2149797 | PK | — |
