Organization
ADVANCED CANCER RESEARCH, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACIEJ K DRAZKIEWICZ M.D. (VICE-PRESIDENT)
(773) 227-8807
Entity
Organization
Contact information
Practice address
1022 N NORTHWEST HWY, PARK RIDGE, IL 60068-1831
(773) 227-8807
(773) 227-8907
Mailing address
1022 N NORTHWEST HWY, PARK RIDGE, IL 60068-1831
(773) 227-8807
(773) 227-8907
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
036083034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083034
IL LICENSE
IL
01
—
14977083333
NPI # 1
—
Enumeration date
02/29/2012
Last updated
02/29/2012
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