Organization
CANCER CARE SPECIALISTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL MCKEOWN M.D. (PRESIDENT)
(708) 342-1576
Entity
Organization
Contact information
Practice address
16532 S. OAK PARK AVE, SUITE 102, TINLEY PARK, IL 60477-2280
(708) 342-1576
(708) 342-1465
Mailing address
16532 S. OAK PARK AVE, SUITE 102, TINLEY PARK, IL 60477-2280
(708) 342-1576
(708) 342-1465
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
36046718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340362537
—
IL
Enumeration date
10/13/2006
Last updated
03/20/2013
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