NPI Code Details Logo

NPI 1871682674

NPI 1871682674 : AFFILIATED CANCER SPECIALISTS PC : KANKAKEE, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1871682674
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AFFILIATED CANCER SPECIALISTS PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/12/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    375 N WALL ST SUITE P320
-----------------------------------------------------
    City                 |    KANKAKEE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60901
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-933-9660
-----------------------------------------------------
    Fax                  |    815-937-7968
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    375 N WALL ST SUITE P320
-----------------------------------------------------
    City                 |    KANKAKEE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60901
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-933-9660
-----------------------------------------------------
    Fax                  |    815-937-7968
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEDICAL DIRECTOR
-----------------------------------------------------
    Name                 |     MEHMET  SIPAHI 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    815-933-9660
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RH0003X
-----------------------------------------------------
    Taxonomy Name        |    Hematology & Oncology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RH0003X
-----------------------------------------------------
    Taxonomy Name        |    Hematology & Oncology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0001X
-----------------------------------------------------
    Taxonomy Name        |    Radiation Oncology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.