Organization
ADVANCED CANCER CLINIC LTD
Active
Other names
Maciej Drazkiewicz, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACIEJ K DRAZKIEWICZ MD (DIRECTOR/PRESIDENT)
(773) 227-8807
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, #215, CHICAGO, IL 60622-2717
(773) 227-8807
(773) 227-8907
Mailing address
2222 W DIVISION ST, #215, CHICAGO, IL 60622-2717
(773) 227-8807
(773) 227-8907
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036083034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083034
—
IL
01
—
1497708333
NPI ENUMERATOR
—
Enumeration date
09/01/2005
Last updated
04/23/2013
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