CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS S.C. NPI 1871580142

NPI Information

NPI: 1871580142
Provider Name: CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Classification: Internal Medicine - 207RX0202X
Specialization: Medical Oncology
Entity Type: Organization
CLIA Number: 14D0904141
Address: 210 W MCKINLEY AVE
SUITE 1
DECATUR, IL
ZIP 62526
Phone: (217) 876-6600

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NPI Details

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. is a medical oncology internal medicine in Decatur, IL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. NPI is 1871580142. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 W MCKINLEY AVE
SUITE 1
DECATUR, IL
ZIP 62526-858
Phone: (217) 876-6600
Fax: (217) 876-6606

The provider's authorized official is Justin D Floyd .
The authorized official title is President and has the following contact phone number (618) 416-7970.

The CLIA number assigned to this NPI record is 14D0904141 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 7/31/2024.

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
1	207RX0202X	Internal Medicine	Medical Oncology	042005607	ILLINOIS	Yes
2	2085R0001X	Radiology	Radiation Oncology	042005607	ILLINOIS	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		042005607	ILLINOIS	No

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
1	0005815189	OTHER	ILLINOIS	BLUE CROSS/BLUE SHIELD OF

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: 3/30/2025

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