| Organization Name: | UNIVERSITY HEMATOLOGY ONCOLOGY INC |
| NPI Number: | 1023293776 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAZA M SYED (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 1052 Martin Luther King Dr Suite 2 Centralia |
| State: | IL US |
| Postal Code: | 628013002 |
| Phone Number: | 6185321891 |
| Fax Number: | 6185321892 |
| NPI Enumeration Date: | 12/31/2007 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |