Advanced Cancer Research, LTD

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

036083034 Issued in IL

Legal business name

ADVANCED CANCER RESEARCH, LTD

Practice address

1022 N Northwest Hwy
Park Ridge, IL 60068-1831

Phone

(773) 227-8807

Fax

(773) 227-8907

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maciej K Drazkiewicz, M.D.NPI 1497708333

Title

Vice-President

Phone

(773) 227-8807

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maciej K Drazkiewicz, MD

  • Hematology & Oncology Physician
  • Chicago, IL
  • NPI 1497708333
  Authorized official Same address or phone

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1396019923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681831",
            "telephone_number": "773-227-8807",
            "fax_number": "773-227-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681831",
            "telephone_number": "773-227-8807",
            "fax_number": "773-227-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CANCER RESEARCH, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DRAZKIEWICZ",
        "authorized_official_first_name": "MACIEJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "773-227-8807",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "IL",
            "license": "036083034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036083034",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # 1",
            "identifier": "14977083333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Manette Adley, DDS
• Anis Adnani, MD
• Rene H Adrian, M.D.
• Advance Myotherapy & Pain Ctr. (Nimfa)
• Advanced Addiction Consultants Co
• Advanced Hearing Solutions, LTD
• Advanced Illinois Medical Inc
• Advanced Medical Practices SC
• Advanced Onsite Wound Care LLC
• Advanced Physical Therapy & Health Services LLC.

• Oncology Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Oncology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.