ILLINOIS CANCER SPECIALISTS (NPI# 1982942306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982942306 |
| Entity Type | Organization |
| Organization Name | ILLINOIS CANCER SPECIALISTS |
| Practice Address |
396 Remington Blvd Ste 141 Bolingbrook IL 60440-4302 |
| Mailing Address |
25070 Network Pl Chicago IL 60673-1250 |
| Practice Telephone | 6307548310 |
| Mailing Telephone | 8475857000 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | DR. DAVID HAKIMIAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8478279490 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
363358247 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1407331341 | Illinois Cancer Specialists | Internal Medicine | 7447 W Talcott Ave Ste 1, Chicago, IL 60631-3712 | 2018-09-26 |
| 1568836070 | Illinois Cancer Specialists | Nurse Practitioner | 880 W Central Rd, Suite 8200, Arlington Heights, IL 60005-2355 | 2015-11-20 |
| 1649343864 | Illinois Cancer Specialists | Pharmacy | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-11-16 |
| 1922114453 | Illinois Cancer Specialists | Internal Medicine | 4305 W Medical Center Dr, Ste 1, Mchenry, IL 60050-8425 | 2006-08-21 |
| 1134235666 | Illinois Cancer Specialists | Internal Medicine | 3703 Doty Rd, Ste 6, Woodstock, IL 60098-7517 | 2006-08-21 |
| 1790899599 | Illinois Cancer Specialists | Internal Medicine | 908 N Elm St, Suite 210, Hinsdale, IL 60521-3635 | 2006-08-18 |
| 1750338844 | Illinois Cancer Specialists | Internal Medicine | 7447 W Talcott Ave, Suite One, Chicago, IL 60631-3745 | 2006-05-27 |
| 1164483913 | Illinois Cancer Specialists | Internal Medicine | 8915 W Golf Rd, Niles, IL 60714-5905 | 2006-03-31 |
| 1255328464 | Illinois Cancer Specialists | Internal Medicine | 1710 N Randall Rd, Ste 300, Elgin, IL 60123-9400 | 2005-10-03 |
| Street Address |
396 REMINGTON BLVD STE 141 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454124 | Prakash Selvaraj | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-1732 | 2005-08-12 |
| 1255987707 | Aaron Kim Dpm S.c | Podiatrist | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2019-08-12 |
| 1578092227 | Tiffany Applewhite | Registered Nurse | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2017-06-07 |
| 1053772178 | Katrina Cudal | Nurse Practitioner | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2016-03-17 |
| 1023416625 | Amanda Hunter | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2014-12-12 |
| 1780014647 | Kelsey Casali | Physician Assistant | 396 Remington Blvd, 240, Bolingbrook, IL 60440-4302 | 2013-11-13 |
| 1811325160 | Adventist Health Partners, Inc | Neurological Surgery | 396 Remington Blvd, Suite 140, Bolingbrook, IL 60440-4302 | 2013-10-24 |
| 1811249972 | Vna Health Care | Clinic/Center | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2012-10-12 |
| 1497015390 | Usrc Bolingbrook LLC | Clinic/Center | 396 Remington Blvd, Ste 110, Bolingbrook, IL 60440-4302 | 2012-05-24 |
| 1033496344 | Amber Lawrence | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1972616530 | Leela N Rao | Internal Medicine | 420 S Schmidt Rd, Suite 230, Bolingbrook, IL 60440-4925 | 2006-08-17 |
| 1205246626 | Adventist Health Partners, Inc. | Internal Medicine | 420 Remington Blvd, Ste 230, Bolingbrook, IL 60440-4925 | 2014-05-07 |
| 1699090852 | Joliet Oncology Hematology Assoc Ltd | Internal Medicine | 420 Remington Blvd, Suite 230, Bolingbrook, IL 60440 | 2010-03-31 |
| 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 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.