Presence Hospitals Prv in Bourbonnais - Hematology & Oncology

Presence Hospitals Prv - NPI 1215141627

Presence Hospitals Prv is a Hematology & Oncology in Bourbonnais, Illinois. Presence Hospitals Prv practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Presence Hospitals Prv is 1215141627. The last update date is 2013-01-22.

Presence Hospitals Prv's current location address is 100 Provena Way, Bourbonnais, Illinois. You can contact this provider via phone number 8159378780 and fax number 8159378241. The mailing address for Presence Hospitals Prv is 100 Provena Way, Bourbonnais, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Presence Hospitals Prv
Address 100 Provena Way, Bourbonnais, Illinois
Phone Number 8159378780
Fax Number 8159378241
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SYSTEM, CH
Authorized Official Name Filer J. Anthony
Telephone Number 7084787674

NPI Number Detail

NPI Number 1215141627
Provider Enumeration Date 2007-05-09
Last Updated Date 2013-01-22

Provider Mailing Address Detail

Address 100 Provena Way
City Bourbonnais
State Illinois (IL)
Post Code 609144796
Phone Number 8159378780
Fax Number 8159378241

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No 4879
Definition:
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 ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4621885 IL BLUE CROSS BLUE SHIELD

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FAQs about Presence Hospitals Prv

What is the unique 10-digit identification code issued to Presence Hospitals Prv by the Centers for Medicare & Medicaid Services?

The Presence Hospitals Prv has been assigned the NPI (National Provider Identifier) 1215141627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Presence Hospitals Prv's facilities are geographically located?

The facilities of Presence Hospitals Prv are physically situated at the following location: 100 Provena Way, Bourbonnais, IL, 609144796.

What is Presence Hospitals Prv's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Presence Hospitals Prv's specialized field of practice is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rh0003X.

On what date did Presence Hospitals Prv receive its 1215141627 assignment from the Centers for Medicare & Medicaid Services?

The Presence Hospitals Prv was assigned its 1215141627 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Presence Hospitals Prv, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Presence Hospitals Prv, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-22.

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