| NPI | 1285378091 |
|---|---|
| Doing Business As | ILLINOIS CANCERCARE, PC |
| Entity Type | Organization |
| Authorized Contact | JANELLE HAMILTON Director Of Payer Relations 309-243-3501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |