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Organization
CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC
Active
Organization
CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. M SUE COFFEE (OFFICE MANAGER)
(800) 292-4492
Entity
Organization
Contact information
Practice address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374
Mailing address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239274
HEALTHLINK INC
—
01
—
CC9240
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
07/01/2013
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