MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD


Address: 407 E Vernon Ave Ste 104, Normal, IL 61761-3813
Phone: 3094529701

MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD (NPI# 1467467803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467467803
Entity Type Organization
Organization Name MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD
Practice Address 407 E Vernon Ave Ste 104
Normal
IL 61761-3813
Practice Telephone 3094529701
Enumeration Date 2006-07-31
Last Update Date 2011-03-03
Authorized Official Name DR. PRAMERN SRIRATANA (PRESIDENT)
Authorized Official Telephone 3094529701
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
IL Allopathic & Osteopathic Physicians
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers

Office Location

Street Address 407 E VERNON AVE STE 104
City NORMAL
State IL
Zip Code 61761-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922584788 Marcia Ruth O'donnell Social Worker 407 E Vernon Ave Ste 104, Normal, IL 61761-3813 2018-07-16
1346673308 Lyndi Colleen Alberts Nurse Practitioner 407 E Vernon Ave Ste 104, Normal, IL 61761-3813 2013-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
Find all providers in zip 61761

Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447783915 Bienestar Pharmacy IIi, Inc Pharmacy 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 2017-04-11
1851639371 Health Delivery Management, LLC Pharmacy 430 Warrenville Road, Lisle, IL 60532 2013-01-17
1821239419 Lehan Drugs Inc Pharmacy 1850 Gateway Dr. Suite A, Sycamore, IL 60178 2009-03-12
1760656987 Mtm Services Pharmacy 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 2008-04-18
1023137528 John H Stroger Jr. Hospital Pharmacy of Cook County Pharmacy 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 2007-03-28
1588781298 Cook County Pharmacy 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 2007-03-26
1447390125 Board of Trustees of The University of Illinois Pharmacy 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 2007-02-08
1982791240 Weber Medical Clinic Ltd Pharmacy 1200 N East Street, Olney, IL 62450-2499 2006-10-06
1093818148 Altgeld Garden Drug Co. Pharmacy 974 E 133rd St, Chicago, IL 60827-1428 2006-09-06
1649270125 American Pharmacy Inc Pharmacy 2200 W Roosevelt Rd, Broadview, IL 60155-3888 2005-07-27
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Competitor

Search similar providers

City NORMAL
Zip Code 61761

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Dataset Information

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.

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