Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Active
Parent organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Other names
Illinois CancerCare, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Authorized official
JANELLE HAMILTON (DIRECTOR OF PAYER RELATIONS)
(309) 243-3501
Entity
Organization
Contact information
Practice address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3404
(309) 243-3032
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3404
(309) 243-3032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054016528
STATE LICENSE
IL
Enumeration date
04/27/2022
Last updated
04/27/2022
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