Organization · Type 2 NPI

Cook County Medical Research

Hematology & Oncology Physician · Chicago, IL

NPI number 1861789877 Active

Practice location

4809 W Madison St
Chicago, IL 60644-3640

Call (773) 473-7800 Map

Fax (773) 473-7801

Mailing address

PO Box 9005
Naperville, IL 60567-0005

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

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 1861789877

Cook County Medical Research's National Provider Identifier is 1861789877, issued on Jun 29, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Chicago, IL. The record was last updated on Jul 1, 2011.