# ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
- **Other names:** Illinois CancerCare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518436757
- **Legal business name:** ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
- **Authorized official:** JASON HARLOW PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (309) 243-3403

## Contact information

- **Practice address:** 1641 BROADWAY ST, PEKIN, IL 61554-3805
- **Practice address phone:** (309) 243-3014
- **Practice address fax:** (309) 243-3032
- **Mailing address:** 8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
- **Mailing address phone:** (309) 243-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/16/2018
- **Last updated:** 11/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054020985 | STATE LICENSE | IL |