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CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC NPI 1750306692


NPI Information

NPI: 1750306692
Provider Name: CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
747 N RUTLEDGE ST
2204
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 525-2500
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CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC is a hematology and oncology internal medicine in Springfield, 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. CENTRAL ILLINOIS HEMATOLOGY ONCOLOGY CENTER PC NPI is 1750306692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

747 N RUTLEDGE ST
2204
SPRINGFIELD, IL
ZIP 62702-700
Phone: (217) 525-2500
Fax: (217) 525-9374

The provider's authorized official is M Sue Coffee .
The authorized official title is Office Manager and has the following contact phone number (800) 292-4492.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/1/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyDELAWAREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CC9240OTHERRAILROAD MEDICARE
2239274OTHERHEALTHLINK INC
3966780MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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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