Organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC
Active
Other names
Illinois Cancer Caer PC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HARLOW (PHARMACY MANAGER)
(309) 243-3405
Entity
Organization
Contact information
Practice address
336 HOME BLVD, GALESBURG, IL 61401-7408
(309) 243-3017
(309) 343-2084
Mailing address
336 HOME BLVD, GALESBURG, IL 61401-7408
(309) 243-3017
(309) 343-2084
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.018690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149797
PK
—
Enumeration date
01/23/2015
Last updated
01/23/2015
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