Organization
AMERICAN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY BOGDAN (OFFICE MANAGER)
(847) 695-3555
Entity
Organization
Contact information
Practice address
846 DUNDEE AVE, ELGIN, IL 60120-3068
(847) 695-3555
(847) 695-5937
Mailing address
846 DUNDEE AVE, ELGIN, IL 60120-3068
(847) 695-3555
(847) 695-5937
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
036066206
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9845
RR MEDICARE PIN
IL
Enumeration date
03/30/2007
Last updated
06/12/2009
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