Provider Demographics
NPI:1225099427
Name:NORTHWEST ONCOLOGY AND HEMATOLOGY SC
Entity Type:Organization
Organization Name:NORTHWEST ONCOLOGY AND HEMATOLOGY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-577-0620
Mailing Address - Street 1:3701 ALGONQUIN RD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3311
Practice Address - Country:US
Practice Address - Phone:847-437-3312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042-004266207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL698763Medicare ID - Type UnspecifiedLAKE COUNTY
ILCF2043Medicare ID - Type UnspecifiedRAILROAD MEDICARE
IL698760Medicare ID - Type UnspecifiedCOOK COUNTY