CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. – NPI #1871580142
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. is a provider located in DECATUR, IL. NPPES has assigned the NPI number 1871580142 to CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. on October 03, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 20 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was last updated on Jul 31, 2024. 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 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. below.

NPI Profile for
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.

NPI Number
1871580142
Enumeration Date

(more than 20 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
CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.
Primary location
210 W MCKINLEY AVE
SUITE 1
DECATUR, IL 62526-5858
Phone: (217) 876-6600 Fax: (217) 876-6606
20 Other location(s):
9515 Holy Cross Ln Ste 6
Breese, IL 62230-3618
Phone: (618) 526-8585
Fax: (618) 526-2855
1052 ML King Drive, Suite 2
Centralia, IL 62801-3002
Phone: (618) 436-5410
Fax: (618) 436-5410
422 W White St
Clinton, IL 61727-2272
Phone: (217) 876-6600
Fax: (217) 876-6606
1990 E Lake Shore Dr
Decatur, IL 62521-3811
Phone: (217) 876-6600
Fax: (217) 876-6606
905 Medical Park Dr
Effingham, IL 62401-2190
Phone: (217) 342-2066
Fax: (217) 342-2074
213 NW 10th St Ste D
Fairfield, IL 62837-1219
Phone: (618) 847-8296
Fax: (618) 847-8398
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone: (217) 342-2066
Fax: (217) 342-2074
200 Health Care Dr Ste 1501
Greenville, IL 62246-1154
Phone: (618) 436-5410
Fax: (618) 664-2424
12860 Troxler Ave Ste 135
Highland, IL 62249-2898
Phone: (618) 651-2893
Fax: (618) 654-6462
1001 Health Center Dr
Mattoon, IL 61938-4693
Phone: (217) 258-2250
Fax: (217) 258-2249
2 Sage Crossing Blvd Ste A
Monticello, IL 61856-4206
Phone: (217) 817-8517
Fax: (217) 817-8516
321 Regency Park Ste 100
O Fallon, IL 62269-1887
Phone: (618) 416-7970
Fax: (618) 416-7971
800 E Locust St
Olney, IL 62450-2553
Phone: (217) 342-2066
Fax: (217) 342-2074
101 E 9th St Ste 1
Pana, IL 62557-1785
Phone: (217) 876-6600
Fax: (217) 876-6606
1201 Ricker Rd
Salem, IL 62881-4263
Phone: (618) 436-5410
Fax: (618) 436-8063
207 S Pine St Ste F
Shelbyville, IL 62565-1749
Phone: (217) 876-6606
Fax: (217) 876-6606
Broadway Plaza, Suite 1
Sparta, IL 62286-1800
Phone: (618) 416-7970
Fax: (618) 416-7971
2 W Adams St
Sullivan, IL 61951-1943
Phone: (217) 876-6600
Fax: (217) 876-6606
201 E Pleasant St
Taylorville, IL 62568-1597
Phone: (217) 707-5430
Fax: (217) 707-5232
650 W Taylor St
Vandalia, IL 62471-1227
Phone: (217) 342-2066
Fax: (217) 342-2074
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUSTIN FLOYD
PRESIDENT
Phone: (618) 416-7970
Updated
Certification Date
Jul 24, 2024

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.

Identifiers

Identifiers for CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS/BLUE SHIELD OFIL0005815189
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
207RX0202X
- Internal Medicine / Medical Oncology (Primary)
IL 042005607
332B00000X
- Durable Medical Equipment & Medical Supplies
IL 042005607
2085R0001X
- Radiology / Radiation Oncology
IL 042005607

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.