Provider Demographics
NPI:1275843476
Name:UIC CANCER CENTER AT MACNEAL
Entity Type:Organization
Organization Name:UIC CANCER CENTER AT MACNEAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECTION CHIEF OF HEMATOLOGY/ONCOLOG
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:OZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-413-3547
Mailing Address - Street 1:6801 34TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5591
Mailing Address - Country:US
Mailing Address - Phone:708-484-8400
Mailing Address - Fax:708-484-8426
Practice Address - Street 1:6801 34TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-5591
Practice Address - Country:US
Practice Address - Phone:708-484-8400
Practice Address - Fax:708-484-8426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-21
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILN/A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center