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).
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 |
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 |
Street Address |
407 E VERNON AVE STE 104 |
City | NORMAL |
State | IL |
Zip Code | 61761-3813 |
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 |
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 Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
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] |
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 |
Find all providers with the same taxonomy |
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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.