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General NPI Number Information
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NPI Number | 1750338844
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Entity Type | Organization
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Legal Business Name | ILLINOIS CANCER SPECIALISTS
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE SUITE ONE
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City | CHICAGO
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State | IL
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Zip | 60631-3745
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Country | US
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Telephone | 773-774-0042
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Fax | 773-774-4133
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Provider Business Mailing Address
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Address Line | 25070 NETWORK PL STE 1
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City | CHICAGO
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State | IL
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Zip | 60673-1250
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Country | US
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Telephone | 847-585-7000
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Fax | 847-240-9093
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GAIL PARTLOW
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Credential |
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Telephone | 847-585-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 042008004
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License Number State | IL
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