| NPI | 1053463059 |
|---|---|
| Doing Business As | ILLINOIS CANCER CARE PC |
| Entity Type | Organization |
| Authorized Contact | JASON HARLOW Phcy Mger,AO 309-243-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016528) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-02-21 |