Active NPI
Illinois Cancer Specialists
- Hematology & Oncology Physician
- Crystal Lake, IL
National Provider Identifier
1194206367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- ILLINOIS CANCER SPECIALISTS
- Practice address
- 360 Station Dr Ste 201
Crystal Lake, IL 60014-7978 - Phone
- (815) 363-0066
- Fax
- (815) 385-2812
- NPI assigned
- Aug 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ria Dalmacio
- Title
- Network Contracting Respresentative
- Phone
- (312) 520-4757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
360 Station Dr Ste 201
Crystal Lake, IL 60014-7978
Mailing address
25070 Network PL
Chicago, IL 60673-1250
Phone (847) 585-7000
Other names 1
- Illinois Cancer Specialists
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1029581 | Illinois Cancer Specialists | Accreditation | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1194206367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25070 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731250",
"telephone_number": "847-585-7000",
"fax_number": "847-240-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 STATION DR STE 201",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147978",
"telephone_number": "815-363-0066",
"fax_number": "815-385-2812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS CANCER SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-27",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "DALMACIO",
"authorized_official_first_name": "RIA",
"authorized_official_title_or_position": "NETWORK CONTRACTING RESPRESENTATIVE",
"authorized_official_telephone_number": "312-520-4757"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Illinois Cancer Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.