ADVENTIST BOLINGBROOK CANCER CENTER – NPI #1770998262
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.

Health Care Provider Taxonomy Code for Internal Medicine

ADVENTIST BOLINGBROOK CANCER CENTER is a provider located in BOLINGBROOK, IL. NPPES has assigned the NPI number 1770998262 to ADVENTIST BOLINGBROOK CANCER CENTER on June 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTIST BOLINGBROOK CANCER CENTER” is a dba name, the actual legal business name for this organization is ADVENTIST BOLINGBROOK HOSPITAL. 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 previously updated about 10 years ago on Jan 13, 2016. 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 ADVENTIST BOLINGBROOK CANCER CENTER below.

NPI Profile for
ADVENTIST BOLINGBROOK HOSPITAL

NPI Number
1770998262
Enumeration Date

(about 12 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
ADVENTIST BOLINGBROOK HOSPITAL
Doing Business As (dba): ADVENTIST BOLINGBROOK CANCER CENTER
Primary location
420 S SCHMIDT
STE 230
BOLINGBROOK, IL 60440
Phone: (630) 312-2000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUBY MANN
DIRECTOR
Phone: (630) 856-6684
Updated
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.