14D0717532 CLIA NUMBER - ILLINOIS CANCER SPECIALISTS

Laboratory Demographics

CLIA Number: 14D0717532

Facility Name: ILLINOIS CANCER SPECIALISTS

Facility Address:
880 W CENTRAL RD STE 8200
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 259-4482

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1568836070

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	14D0717532
LAB Type	Physician Office
Facility Name	ILLINOIS CANCER SPECIALISTS
Street	880 W CENTRAL RD STE 8200
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	847 259-4482
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024