ILLINOIS CANCER SPECIALISTS – NPI #1194206367
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

ILLINOIS CANCER SPECIALISTS is a provider located in CRYSTAL LAKE, IL. NPPES has assigned the NPI number 1194206367 to ILLINOIS CANCER SPECIALISTS on August 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Dec 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ILLINOIS CANCER SPECIALISTS below.

NPI Profile for
ILLINOIS CANCER SPECIALISTS

NPI Number
1194206367
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ILLINOIS CANCER SPECIALISTS
Primary location
360 STATION DR STE 201
CRYSTAL LAKE, IL 60014-7978
Phone: (815) 363-0066 Fax: (815) 385-2812
Mailing address
25070 NETWORK PL
CHICAGO, IL 60673-1250
Phone: (847) 585-7000 Fax: (847) 240-9093
Organization Subpart
No
Authorized Official
RIA DALMACIO
NETWORK CONTRACTING RESPRESENTATIVE
Phone: (312) 520-4757
Updated
Certification Date
Dec 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.