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ONCOLOGY MDS INC NPI 1477908499


NPI Information

NPI: 1477908499
Provider Name: ONCOLOGY MDS, INC

Doing Business As: DEKALB IMAGING

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3301 RESOURCE PKWY
DEKALB, IL
ZIP 60115
Phone: (815) 862-3489
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ONCOLOGY MDS, INC is a hematology and oncology internal medicine in Dekalb, IL. The provider is 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. ONCOLOGY MDS, INC NPI is 1477908499. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dekalb Imaging.

The provider's business location address is:

3301 RESOURCE PKWY
DEKALB, IL
ZIP 60115-334
Phone: (815) 862-3489
Fax: (815) 862-3490

The provider's authorized official is Sabet M Siddiqui .
The authorized official title is President and has the following contact phone number (815) 519-1788.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology036086894ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F76450MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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