AFFILIATED CANCER SPECIALISTS PC (NPI# 1871682674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871682674 |
| Entity Type | Organization |
| Organization Name | AFFILIATED CANCER SPECIALISTS PC |
| Practice Address |
375 N Wall St Suite P320 Kankakee IL 60901 |
| Practice Telephone | 8159339660 |
| Practice Fax Number | 8159377968 |
| Mailing Telephone | 8159339660 |
| Mailing Fax Number | 8159377968 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MEHMET SIPAHI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8159339660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
IL | Allopathic & Osteopathic Physicians | |
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
IL | Allopathic & Osteopathic Physicians | |
| X | 2085R0001X |
Radiology Specialization: Radiation Oncology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36065240 | 05 |
| Street Address |
375 N WALL ST SUITE P320 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1871824987 | Emily C Rodriguez | Physician Assistant | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2010-01-29 |
| 1740434760 | Hearing Things, Inc. | Hearing Aid Equipment | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-11-05 |
| 1649422619 | Kristin Marie Balthazor | Physician Assistant | 375 N Wall St, Ste P530, Kankakee, IL 60901 | 2008-10-21 |
| 1891964649 | Patricia Joan Croix | Audiologist-Hearing Aid Fitter | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-02-26 |
| 1235349598 | Vikas K. Patel | Internal Medicine | 375 N Wall St, Ste 310, Kankakee, IL 60901-3483 | 2007-05-23 |
| 1063538312 | Med-peds Associates,p.c. | Internal Medicine | 375 N Wall St, Ste P520, Kankakee, IL 60901-3483 | 2007-03-21 |
| 1730212309 | Nicole S. Nettgen | Advanced Practice Midwife | 375 N Wall St, Suite P630, Kankakee, IL 60901-3483 | 2007-03-13 |
| 1669556593 | John V Jurica | Family Medicine | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
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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.