NPIMap

Organization Active NPI

Oncology-Hematology Associates of Central Illinois P C

Doing business as Illinois CancerCare, PC

  • Non-Pharmacy Dispensing Site
  • Ottawa, IL
National Provider Identifier
1043990476
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C
Doing business as
Illinois CancerCare, PC
Practice address
1200 Starfire Dr
Ottawa, IL 61350-1632
Phone
(309) 243-3000
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Parker, PHARMACIST
Title
Pharmacist
Phone
(309) 243-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1200 Starfire Dr
Ottawa, IL 61350-1632

Mailing address

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000

Other names 1

  • Illinois CancerCare, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oncology Hematology Associates of Central Illinois9 organizations share this tax ID, including this one
Part of
Oncology Hematology Associates of Central Illinois

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8940 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-3610

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1043990476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STARFIRE DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501632",
            "telephone_number": "309-243-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL IL, PC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "309-243-3000",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois CancerCare, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.