Organization
ONCOLOGY SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB D BITRAN M.D. (PRESIDENT)
(847) 268-8200
Entity
Organization
Contact information
Practice address
1700 LUTHER LN, PARK RIDGE, IL 60068-1270
(847) 268-8200
(847) 410-0051
Mailing address
PO BOX 736, PARK RIDGE, IL 60068-0736
(847) 268-8200
(847) 410-0051
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4348840003
DMERC
IL
Enumeration date
03/30/2007
Last updated
08/22/2020
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