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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 Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

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

NPI Number 1871580142
LBN Legal business name CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Authorized official JUSTIN FLOYD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2005
Last updated 07/31/2024 - More than a year ago
Identifiers
IL License # 042005607
IL Other 0005815189 BLUE CROSS/BLUE SHIELD OF
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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