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NPI Code Detail

MEDICARE: ILLINOIS CANCER SPECIALISTS

MEDICARE: ILLINOIS CANCER SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11619809OTHERILBCBS

General Provider Information

NPI Number : 1164483913
Entity Type Code : Organization
Provider Name (Legal Business Name) : ILLINOIS CANCER SPECIALISTS
Provider Business Mailing Address
First Line : 25070 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1250
Country : US
Telephone Number : 847-585-7000
Fax Number : 847-240-9093
Provider Business Practice Location Address
First Line : 8915 W GOLF RD
Second Line :
City : NILES
State : IL
Zip : 60714-5905
Country : US
Telephone Number : 847-827-9060
Fax Number : 847-827-7196
Authorized Official
Title or Position : PRACTICE PRESIDENT
Name : DR. DAVID HAKIMIAN
Credential : MD
Telephone Number : 847-585-7000
Provider Enumeration Date : 03/31/2006
Last Update Date : 12/08/2025

Similar Medicare Providers

1649343864 — ILLINOIS CANCER SPECIALISTS
Practice Location Address:
8915 W GOLF RD
NILES, IL
60714-5905
Practice Phone: 847-954-3480
Practice Fax: 847-827-1574
1255328878 — LEONARD M KLEIN
Practice Location Address:
8915 W GOLF RD
NILES, IL
60714-5905
Practice Phone: 847-827-9060
Practice Fax: 847-827-7196
1174510523 — JOHN W EKLUND MD
Practice Location Address:
8915 W GOLF RD
NILES, IL
60714-5905
Practice Phone: 847-827-9060
Practice Fax: 847-827-7196
1972590347 — DAVID HAKIMIAN MD
Practice Location Address:
8915 W GOLF RD
NILES, IL
60714-5905
Practice Phone: 847-827-9060
Practice Fax: 847-827-7196
1497742860 — CHARLES G GROEN MD
Practice Location Address:
8915 W GOLF RD , 3RD FLOOR
NILES, IL
60714-5905
Practice Phone: 847-827-9490
Practice Fax: 847-827-2241
1720075179 — BRUCE R KADEN MD
Practice Location Address:
8915 W GOLF RD
NILES, IL
60714-5905
Practice Phone: 847-827-9060
Practice Fax: 847-827-7196

Directions to “ILLINOIS CANCER SPECIALISTS ” Practice Location

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