Organization · Type 2 NPI

Saint Anthony Medical Center

Hematology & Oncology Physician · Rockford, IL

NPI number 1942248802 Active

Practice location

5666 E State St
Rockford, IL 61108-2425

Fax (815) 395-5449

Mailing address

124 SW Adams St
Peoria, IL 61602-1308

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X0002253 (IL)
Neurological Surgery Physician 207T00000XNone listed
Neurology Physician 2084N0400XNone listed
Hospitalist Physician 208M00000XNone 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 1942248802

Saint Anthony Medical Center's National Provider Identifier is 1942248802, issued on Jun 3, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Rockford, IL. The record was last updated on Mar 7, 2024.