ILLINOIS CANCER SPECIALISTS (NPI# 1255328464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255328464 |
Entity Type | Organization |
Organization Name | ILLINOIS CANCER SPECIALISTS |
Practice Address |
1710 N Randall Rd Ste 300 Elgin IL 60123-9400 |
Mailing Address |
Po Box 25070 Chicago IL 60673-1250 |
Practice Telephone | 8479310909 |
Practice Fax Number | 8479310939 |
Mailing Telephone | 8475857000 |
Mailing Fax Number | 8476400622 |
Enumeration Date | 2005-10-03 |
Last Update Date | 2014-03-12 |
Authorized Official Name | DR. DAVID HAKIMIAN (PRACTICE PRESIDENT) |
Authorized Official Telephone | 8478279060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
1407331341 | Illinois Cancer Specialists | Internal Medicine | 7447 W Talcott Ave Ste 1, Chicago, IL 60631-3712 | 2018-09-26 |
1568836070 | Illinois Cancer Specialists | Nurse Practitioner | 880 W Central Rd, Suite 8200, Arlington Heights, IL 60005-2355 | 2015-11-20 |
1982942306 | Illinois Cancer Specialists | Internal Medicine | 396 Remington Blvd, Ste 141, Bolingbrook, IL 60440-4302 | 2013-01-18 |
1649343864 | Illinois Cancer Specialists | Pharmacy | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-11-16 |
1922114453 | Illinois Cancer Specialists | Internal Medicine | 4305 W Medical Center Dr, Ste 1, Mchenry, IL 60050-8425 | 2006-08-21 |
1134235666 | Illinois Cancer Specialists | Internal Medicine | 3703 Doty Rd, Ste 6, Woodstock, IL 60098-7517 | 2006-08-21 |
1790899599 | Illinois Cancer Specialists | Internal Medicine | 908 N Elm St, Suite 210, Hinsdale, IL 60521-3635 | 2006-08-18 |
1750338844 | Illinois Cancer Specialists | Internal Medicine | 7447 W Talcott Ave, Suite One, Chicago, IL 60631-3745 | 2006-05-27 |
1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
Street Address |
1710 N RANDALL RD STE 300 |
City | ELGIN |
State | IL |
Zip Code | 60123-9400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851398218 | Gulzar Fidai | Internal Medicine | 1710 N Randall Rd, 380, Elgin, IL 60123-4902 | 2005-06-30 |
1992285613 | Chul Jong David Kim | Physical Therapist | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2018-08-21 |
1992234306 | Lorin Gene Brody | Nurse Practitioner | 1710 N Randall Rd, 160, Elgin, IL 60123 | 2017-06-08 |
1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
1821549064 | Amanda Robinson | Physician Assistant | 1710 N Randall Rd, 160, Elgin, IL 60123-9400 | 2016-10-24 |
1710330154 | Jordan Altieri | Physical Therapy Assistant | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-07-21 |
1902263486 | Lisa Gallagher | Counselor | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-01-28 |
1669888558 | Jennifer Chang | Physician Assistant | 1710 N Randall Rd, Suite #160, Elgin, IL 60123-9400 | 2014-07-11 |
1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194797266 | Thomas L. Cao | Internal Medicine | 1435 North Randall Road, Suite 402, Elgin, IL 60123 | 2006-02-03 |
1538156732 | Syed Aslam Zahir | Internal Medicine | 1710 N. Randall Rd, Suite 300, Elgin, IL 60123 | 2005-10-03 |
1295952596 | Veerpal Singh | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9405 | 2007-04-19 |
1477691640 | Midwest Oncology Hematology Ltd | Internal Medicine | 1600 N Randall Rd, Ste. 115, Elgin, IL 60123-2306 | 2007-02-01 |
1861468100 | Apurva A Desai | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2006-02-27 |
1518954890 | Chilakamarri Yeshwant | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
1043207251 | Rajini Manjunath | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
1568459774 | Stanley Nabrinsky | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.