Organization · Type 2 NPI

Provena Hospitals

Hematology & Oncology Physician · Danville, IL

NPI number 1295054369 Active

Practice location

812 N Logan Ave
Danville, IL 61832-3752

Fax (217) 477-2966

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X036086987 (IL)

Hematology & Oncology Physician: 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.

59 other providers at this address

About NPI 1295054369

Provena Hospitals's National Provider Identifier is 1295054369, issued on May 27, 2010. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Danville, IL. The record was last updated on May 27, 2010.