Cancer Care Specialists, LTD.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

36046718 Issued in IL

Legal business name

CANCER CARE SPECIALISTS, LTD.

Practice address

16532 S. Oak Park Ave
Suite 102
Tinley Park, IL 60477-2280

Phone

(708) 342-1576

Fax

(708) 342-1465

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

John Michael McKeown, M.D.

Title

President

Phone

(708) 342-1576

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1083704449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16532 S. OAK PARK AVE",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772280",
            "telephone_number": "708-342-1576",
            "fax_number": "708-342-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 S. OAK PARK AVE",
            "address_2": "SUITE 102",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772280",
            "telephone_number": "708-342-1576",
            "fax_number": "708-342-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-342-1576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "36046718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340362537",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.