Cancer Care Specialists Of Central Illinois, S.C. in Decatur - Radiation Oncology

Cancer Care Specialists Of Central Illinois, S.C. - NPI 1871580142

Cancer Care Specialists Of Central Illinois, S.C. is a Radiation Oncology in Decatur, Illinois. Cancer Care Specialists Of Central Illinois, S.C. practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Cancer Care Specialists Of Central Illinois, S.C. is 1871580142. The last update date is 2015-05-12.

Cancer Care Specialists Of Central Illinois, S.C.'s current location address is 210 W Mckinley Ave, Decatur, Illinois. You can contact this provider via phone number 2178766600 and fax number 2178766606. The mailing address for Cancer Care Specialists Of Central Illinois, S.C. is 210 W Mckinley Ave, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cancer Care Specialists Of Central Illinois, S.C.
Address 210 W Mckinley Ave, Decatur, Illinois
Phone Number 2178766600
Fax Number 2178766606
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wade Lloyd James
Credentials MD
Telephone Number 2178766600

NPI Number Detail

NPI Number 1871580142
Provider Enumeration Date 2005-10-03
Last Updated Date 2015-05-12

Provider Mailing Address Detail

Address 210 W Mckinley Ave
City Decatur
State Illinois (IL)
Post Code 625265858
Phone Number 2178766600
Fax Number 2178766606

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 42005607
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5815189 IL BLUE CROSS/BLUE SHIELD OF

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FAQs about Cancer Care Specialists Of Central Illinois, S.C.

What is the unique provider identifier assigned to Cancer Care Specialists Of Central Illinois, S.C.?

The Cancer Care Specialists Of Central Illinois, S.C. has been issued the NPI (National Provider Identifier) 1871580142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Cancer Care Specialists Of Central Illinois, S.C.'s facilities are situated?

The facilities of Cancer Care Specialists Of Central Illinois, S.C. are physically located at the following address: 210 W Mckinley Ave, Decatur, IL, 625265858.

What is Cancer Care Specialists Of Central Illinois, S.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cancer Care Specialists Of Central Illinois, S.C.'s specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.

When was the Cancer Care Specialists Of Central Illinois, S.C.'s 1871580142 issued?

The Cancer Care Specialists Of Central Illinois, S.C.'s 1871580142 was issued on 2005-10-03.

When was the Cancer Care Specialists Of Central Illinois, S.C.'s information last updated?

The Cancer Care Specialists Of Central Illinois, S.C.'s information was last updated on 2015-05-12.

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