OrganizationActive
Cancer Care Specialists of Central Illinois, S.c
NPI 1497406219 · Specialty Pharmacy · Decatur, IL
Provider details
- NPI number
- 1497406219
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Perry Guaglianone, Director of Pharmacy(217) 876-6600
Specialties & taxonomies
Suppliers
Practice location
210 W Mckinley Ave Ste 6
Decatur, IL 62526-5858
Phone: (217) 329-3239
Approximate (ZIP-level) locationGet directions
Mailing address
210 W Mckinley Ave Ste 6
Decatur, IL 62526-5858
Other names (DBA / former)
- Doing business as
- Cancer Care Specialists of Illinois
- Doing business as
- Cancer Care Specialists of Illinois
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2024-06-14
- Certified
- 2024-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.