Active NPI
Illinois Cancer Specialists
- Hematology & Oncology Physician
- Bolingbrook, IL
National Provider Identifier
1982942306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 363358247
- Legal business name
- ILLINOIS CANCER SPECIALISTS
- Practice address
- 396 Remington Blvd
Ste 141
Bolingbrook, IL 60440-4302 - Phone
- (630) 754-8310
- NPI assigned
- Jan 18, 2013
- 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
- Dr. David Hakimian, M.D.
- Title
- Medical Doctor
- Phone
- (847) 827-9490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 363358247 | IL | Primary |
Addresses
Primary practice location
396 Remington Blvd
Ste 141
Bolingbrook, IL 60440-4302
Mailing address
25070 Network PL
Chicago, IL 60673-1250
Phone (847) 585-7000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1982942306",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 REMINGTON BLVD",
"address_2": "STE 141",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404302",
"telephone_number": "630-754-8310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS CANCER SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-18",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "HAKIMIAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "847-827-9490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "363358247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.