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CTCA PHYSICIANS GROUP OF ILLINOIS INC NPI 1073015236


NPI Information

NPI: 1073015236
Provider Name: CTCA PHYSICIANS GROUP OF ILLINOIS, INC

Other Name: OUTPATIENT CARE CENTER DOWNTOWN CHICAGO

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 14D2145251

Address:
160 E ILLINOIS ST
CHICAGO, IL
ZIP 60611
Phone: (847) 746-4333
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CTCA PHYSICIANS GROUP OF ILLINOIS, INC is a medical oncology internal medicine in Chicago, IL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. CTCA PHYSICIANS GROUP OF ILLINOIS, INC NPI is 1073015236. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Outpatient Care Center Downtown Chicago.

The provider's business location address is:

160 E ILLINOIS ST
CHICAGO, IL
ZIP 60611-426
Phone: (847) 746-4333

The provider's authorized official is Neetu Masuta .
The authorized official title is Chief Accounting Officer and has the following contact phone number (847) 342-6978.

The CLIA number assigned to this NPI record is 14D2145251 - other - outpatient care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2018 and was last updated on 7/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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