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Organization

CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. M SUE COFFEE (OFFICE MANAGER)
(800) 292-4492
Entity
Organization

Contact information

Practice address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374
Mailing address
747 N RUTLEDGE ST, 2204, SPRINGFIELD, IL 62702-6700
(217) 525-2500
(217) 525-9374

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
239274
HEALTHLINK INC
01
CC9240
RAILROAD MEDICARE
Enumeration date
07/13/2006
Last updated
07/01/2013
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