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ADVANCED CANCER CLINIC LTD NPI 1790779023


NPI Information

NPI: 1790779023
Provider Name: ADVANCED CANCER CLINIC LTD

Doing Business As: MACIEJ DRAZKIEWICZ, M.D.

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2222 W DIVISION ST
#215
CHICAGO, IL
ZIP 60622
Phone: (773) 227-8807
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ADVANCED CANCER CLINIC LTD is a hematology and oncology internal medicine in Chicago, 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. ADVANCED CANCER CLINIC LTD NPI is 1790779023. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maciej Drazkiewicz, M.d..

The provider's business location address is:

2222 W DIVISION ST
#215
CHICAGO, IL
ZIP 60622-717
Phone: (773) 227-8807
Fax: (773) 227-8907

The provider's authorized official is Maciej K Drazkiewicz .
The authorized official title is Director/president and has the following contact phone number (773) 227-8807.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 4/23/2013.


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 & Oncology036083034ILLINOISYes

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
11497708333OTHERNPI ENUMERATOR
2376301MEDICARE UPINILLINOIS
3036083034MEDICAIDILLINOIS
41275310001MEDICARE NSCILLINOIS

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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