VANTAGE CANCER CARE - ILLINOIS, S.C.
NPI 1508267220
Internal Medicine - Medical Oncology in Hazel Crest, IL

Active since September 12, 2014
17750 SOUTH KEDZIE AVENUE, HAZEL CREST, IL 60429(708) 799-9995 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vantage Cancer Care - Illinois, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANTAGE CANCER CARE - ILLINOIS, S.C. (NPI 1508267220) is a healthcare organization registered as a medical oncology in Hazel Crest, Illinois and active in the NPI registry since September 2014. The organization lists Leslie E. Botnik, President, as its authorized official.

NPPES Registry Identity

NPI1508267220
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameVANTAGE CANCER CARE - ILLINOIS, S.C.
Location Address17750 SOUTH KEDZIE AVENUEHazel Crest, IL 60429-2047
Mailing Address1500 Rosecrans Avenue, Suite 400Manhattan Beach, CA 90266-3707 · (310) 335-4000
Organization SubpartNo
Authorized OfficialLeslie E. BotnikPresident · (323) 595-5769
Enumeration DateSeptember 12, 2014
Last NPPES UpdateSeptember 15, 2014
NPI 1508267220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
17750 SOUTH KEDZIE AVENUE, Hazel Crest, IL 60429

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
17750 SOUTH KEDZIE AVENUE
HAZEL CREST, IL 60429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vantage Cancer Care - Illinois, S.C.'s NPI number?

The NPI number for Vantage Cancer Care - Illinois, S.C. is 1508267220. It was assigned to this organization in the NPPES registry on September 12, 2014.

Where is Vantage Cancer Care - Illinois, S.C. located?

Vantage Cancer Care - Illinois, S.C. is located at 17750 South Kedzie Avenue, Hazel Crest, IL 60429. The listed phone number is (708) 799-9995.

What is Vantage Cancer Care - Illinois, S.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Vantage Cancer Care - Illinois, S.C. was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.