MIDWEST ONCOLOGY HEMATOLOGY LTD NPI 1477691640

NPI Information

  • NPI: 1477691640
  • Provider Name: MIDWEST ONCOLOGY HEMATOLOGY LTD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 1600 N RANDALL RD
    STE. 115
    ELGIN, IL
    ZIP 60123
  • Phone: (847) 717-6860

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NPI Details

MIDWEST ONCOLOGY HEMATOLOGY LTD is a hematology and oncology internal medicine in Elgin, 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. MIDWEST ONCOLOGY HEMATOLOGY LTD NPI is 1477691640. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 N RANDALL RD
STE. 115
ELGIN, IL
ZIP 60123-306
Phone: (847) 717-6860
Fax: (847) 717-6872

The provider's authorized official is Thomas Lequn Cao .
The authorized official title is Owner and has the following contact phone number (847) 717-6860.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/23/2014.

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 & Oncology036098274ILLINOISYes

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
104528012OTHERILLINOISBCBS OF IL
2209037MEDICARE ID-TYPE UNSPECIFIEDILLINOISMCARE GROUP # LOC15
3200912MEDICARE ID-TYPE UNSPECIFIEDILLINOISMCARE GRP # LOC16
4CJ2553MEDICARE ID-TYPE UNSPECIFIEDILLINOISRAIL ROAD GRP #

What is NPI?

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This page was last updated on: 3/30/2025

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