National Provider Identifier Database

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC
Medical Oncology

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.


Contact Information

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
210 W MCKINLEY AVE
SUITE 1
DECATUR, IL62526-5858
Phone: 217-876-6600
Fax: 217-876-6606
Website:
Specialty Taxonomy Code
* Medical Oncology 207RX0202X
Durable Medical Equipment & Medical Supplies 332B00000X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.

NPI Number 1871580142
Legal business name
LBN
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Authorized official JUSTIN FLOYD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/03/2005
Last updated 07/31/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 042005607
  • IL Other: 0005815189 BLUE CROSS/BLUE SHIELD OF

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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