Basic Information
Provider Information
NPI: 1952313850
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARACIONI
FirstName: ADRIAN
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DEPT CH 14389
Address2:  
City: PALATINE
State: IL
PostalCode: 600554389
CountryCode: US
TelephoneNumber: 7852958108
FaxNumber: 7852707646
Practice Location
Address1: 1700 SW 7TH ST
Address2: 2ND FLOOR
City: TOPEKA
State: KS
PostalCode: 666062489
CountryCode: US
TelephoneNumber: 7852957800
FaxNumber: 7852315990
Other Information
ProviderEnumerationDate: 08/12/2006
LastUpdateDate: 03/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X04-30678KSY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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