Healthcare Provider Details

I. General information

NPI: 1508934688
Provider Name (Legal Business Name): NORTHWEST ONCOLOGY & HEMATOLOGY SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 ALGONQUIN RD SUITE 900
ROLLING MEADOWS IL
60008-3127
US

IV. Provider business mailing address

3701 ALGONQUIN RD SUITE 900
ROLLING MEADOWS IL
60008-3127
US

V. Phone/Fax

Practice location:
  • Phone: 847-577-0620
  • Fax: 847-577-1475
Mailing address:
  • Phone: 847-577-0620
  • Fax: 847-577-1475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number042-004266
License Number StateIL

VIII. Authorized Official

Name: DR. GARY E KAY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-577-0620