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ADVENTIST BOLINGBROOK HOSPITAL NPI 1770998262


NPI Information

NPI: 1770998262
Provider Name: ADVENTIST BOLINGBROOK HOSPITAL

Doing Business As: ADVENTIST BOLINGBROOK CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
420 S SCHMIDT
STE 230
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 312-2000
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ADVENTIST BOLINGBROOK HOSPITAL is a hematology and oncology internal medicine in Bolingbrook, 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. ADVENTIST BOLINGBROOK HOSPITAL NPI is 1770998262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventist Bolingbrook Cancer Center.

The provider's business location address is:

420 S SCHMIDT
STE 230
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 312-2000

The provider's authorized official is Ruby Mann .
The authorized official title is Director and has the following contact phone number (630) 856-6684.

The enumeration date for this NPI number is 6/24/2014 and was last updated on 1/13/2016.


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 & OncologyYes

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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