Healthcare Provider Details

I. General information

NPI: 1164483913
Provider Name (Legal Business Name): ILLINOIS CANCER SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8915 W GOLF RD
NILES IL
60714-5905
US

IV. Provider business mailing address

25070 NETWORK PL
CHICAGO IL
60673-1250
US

V. Phone/Fax

Practice location:
  • Phone: 847-827-9060
  • Fax: 847-827-7196
Mailing address:
  • Phone: 847-585-7000
  • Fax: 847-240-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HAKIMIAN
Title or Position: PRACTICE PRESIDENT
Credential: MD
Phone: 847-585-7000