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NORTHWEST ONCOLOGY & HEMATOLOGY SC NPI 1316014830


NPI Information

NPI: 1316014830
Provider Name: NORTHWEST ONCOLOGY & HEMATOLOGY SC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
800 BIESTERFIELD RD
SUITE 210
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 577-0620
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NORTHWEST ONCOLOGY & HEMATOLOGY SC is a hematology and oncology internal medicine in Elk Grove Village, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NORTHWEST ONCOLOGY & HEMATOLOGY SC NPI is 1316014830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 BIESTERFIELD RD
SUITE 210
ELK GROVE VILLAGE, IL
ZIP 60007-311
Phone: (847) 577-0620
Fax: (847) 577-1475

The provider's authorized official is Steven J Leibach .
The authorized official title is President and has the following contact phone number (847) 577-0620.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/4/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology042-004266ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15519440004MEDICARE NSCILLINOIS
2698760MEDICARE PINILLINOIS
3CF2043MEDICARE PINILLINOIS
4698763MEDICARE PINILLINOIS

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: 5/5/2024

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