| NPI | 1700232394 |
|---|---|
| Doing Business As | ILLINOIS CANCER CARE, PC |
| Entity Type | Organization |
| Authorized Contact | JASON HARLOW Pharmacist 309-243-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054019849) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2017-03-24 |