Dolores A Estrada (NPI# 1316950033, PAC ID# 4981612470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1316950033 |
| PAC ID by PECOS | 4981612470 |
| Professional Enrollment ID | I20060324000253 |
| Full Name | Dolores A Estrada |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Address |
210 W Mckinley Ave Decatur IL 62526-5858 |
| Phone Number | 2178779442 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991619116 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140166 | ST MARYS HOSPITAL |
| 141341 | PANA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1990 E Lakeshore Dr, Decatur, IL 62521-3811 | 2174642900 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 210 W Mckinley Ave, Decatur, IL 62526-5858 | 2178779442 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 | 2178779442 | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Organization Legal Name | CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Nicole Born | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 905 Medical Park Dr, Effingham, IL 62401-2190 |
| Nicole S Soper | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Sebastien Simon Kairouz | Medical Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1990 E Lakeshore Dr, Decatur, IL 62521-3811 |
| Thomas Howard Tarter | Urology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Benjamin T Esparaz | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Mark Andrew Walshauser | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Mario R Velasco Jr. | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Kristi Marie Toennies | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Casey Ellis Duncan | Radiation Oncology | Cancer Care Specialists of Central Illinois, S.c. | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Gibran Hamid Mahmud | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 1050 M L King Dr, Suite 2, Centralia, IL 62801-3060 |
| Street Address |
210 W MCKINLEY AVE |
| City | DECATUR |
| State | IL |
| Zip | 62526-5858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole S Soper | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Thomas Howard Tarter | Urology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Benjamin T Esparaz | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Mark Andrew Walshauser | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Mario R Velasco Jr. | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Christel Gayle Wheeler | Nurse Practitioner | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Vijay Kumar Damarla | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526-5858 |
| Perry Philip Guaglianone | Hematology/oncology | Cancer Care Specialists of Central Illinois, S.c. | 210 W Mckinley Ave, Suite 2, Decatur, IL 62526-5858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Starr Burkhart | Clinical Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1393 | |
| Randy C Kneezel | Oral Surgery | Jurgens and Kneezel Ltd | 2727 N Oakland Ave, Decatur, IL 62526-1586 |
| Meera Yerrabolu | Internal Medicine | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Richard Dilorenzo | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Sudhakar K Sheth | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Ralph P Zehler Iii | Physician Assistant | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Victor Eloy | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Douglas J Dove | Neurology | 2 Memorial Dr, Suite 200, Decatur, IL 62526-1590 | |
| Oliver N R Dold | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Ratul Raychaudhuri | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Find all physicians in zip 62526 | |||
| City | DECATUR |
| Zip Code | 62526 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | DECATUR + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Dolores A Estrada.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.