Presence Hospitals Prv
Presence Hospitals Prv is a Hematology & Oncology Physician in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
100 Provena Way Ste 103Bourbonnais, IL 60914-4796
Phone: (815) 937-8780
Fax: (815) 937-8241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hematology & Oncology Physician (primary) | Taxonomy 207RH0003X · Licence 0004879 (IL) |
|---|
Record details
| NPI number | 1215141627 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Presence Hospitals - Prv |
| Authorized official | Anthony Filer — System, Chief Financial Officer · (708) 478-7674 |
| Other names | Presence St. Mary'S Cancer Center |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | January 22, 2013 |
| Mailing address | 500 W Court St, Kankakee, IL 60901-3661 |