Organization
ILLINOIS CANCER SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIA DALMACIO (NETWORK CONTRACTING REPRESENTATIVE)
(312) 520-4757
Entity
Organization
Contact information
Practice address
8915 W GOLF RD, NILES, IL 60714-5905
(847) 954-3480
(847) 827-1574
Mailing address
25070 NETWORK PL, CHICAGO, IL 60673-1250
(847) 585-7000
(847) 240-0622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054014868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619809
BLUECROSS BLUESHIELD IL
IL
Enumeration date
11/16/2006
Last updated
12/08/2025
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