Organization · Type 2 NPI

Advanced Cancer Clinic Ltd

Hematology & Oncology Physician · Chicago, IL

NPI number 1790779023 Active

Practice location

2222 W Division St, #215
Chicago, IL 60622-2717

Call (773) 227-8807 Map

Fax (773) 227-8907

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X036083034 (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.

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About NPI 1790779023

Advanced Cancer Clinic Ltd's National Provider Identifier is 1790779023, issued on Sep 1, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Chicago, IL. The record was last updated on Apr 23, 2013.