14D0868814 CLIA NUMBER - NORTHWEST ONCOLOGY/HEMATOLOGY SC

Laboratory Demographics

CLIA Number: 14D0868814

Facility Name: NORTHWEST ONCOLOGY/HEMATOLOGY SC

Facility Address:
3701 ALGONQUIN RD STE 900 - CROSSROADS CTR
ROLLING MEADOWS, IL
ZIP 60008
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Facility Phone Number: 847 870-0866

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1881762672

Taxonomy: 207RH0003X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	14D0868814
LAB Type	Physician Office
Facility Name	NORTHWEST ONCOLOGY/HEMATOLOGY SC
Street	3701 ALGONQUIN RD STE 900 - CROSSROADS CTR
City	ROLLING MEADOWS
State	IL
ZIP	60008
Phone	847 870-0866
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