Provider Demographics
NPI:1679683197
Name:HINSDALE ONCOLOGY ASSOCIATES, SC
Entity Type:Organization
Organization Name:HINSDALE ONCOLOGY ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:STEINECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-986-5671
Mailing Address - Street 1:9 BONNIE BRAE RD
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2809
Mailing Address - Country:US
Mailing Address - Phone:630-986-5671
Mailing Address - Fax:
Practice Address - Street 1:1200 HARGER RD
Practice Address - Street 2:SUITE 515
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1805
Practice Address - Country:US
Practice Address - Phone:630-574-0410
Practice Address - Fax:630-574-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036054102207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21629125OtherBCBS OF ILLINOIS
IL21609125OtherBCBS OF ILLINOIS
IL036054102Medicaid
IL21609125OtherBCBS OF ILLINOIS
IL110057103Medicare ID - Type UnspecifiedPALMETTO GBA RR MEDICARE
IL21629125OtherBCBS OF ILLINOIS
IL110016025Medicare ID - Type UnspecifiedPALMETTO GBA RR MEDICARE
IL651661Medicare ID - Type Unspecified