Organization
MIDWEST ONCOLOGY HEMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEQUN CAO MD (OWNER)
(847) 717-6860
Entity
Organization
Contact information
Practice address
1600 N RANDALL RD, STE. 115, ELGIN, IL 60123-2306
(847) 717-6860
(847) 717-6872
Mailing address
1600 N RANDALL RD, STE. 115, ELGIN, IL 60123-7803
(847) 717-6860
(847) 717-6872
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036098274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04528012
BCBS OF IL
IL
Enumeration date
02/01/2007
Last updated
01/23/2014
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