Board Of Trustees Of The University Of Illinois in Chicago - Clinic Pharmacy
Board Of Trustees Of The University Of Illinois - NPI 1790826352
Board Of Trustees Of The University Of Illinois is a Clinic Pharmacy in Chicago, Illinois. Board Of Trustees Of The University Of Illinois practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Board Of Trustees Of The University Of Illinois is 1790826352. The last update date is 2023-03-07.
Board Of Trustees Of The University Of Illinois's current location address is 1220 S Wood St, Chicago, Illinois. You can contact this provider via phone number 3124131767 and fax number 3123551916. The mailing address for Board Of Trustees Of The University Of Illinois is 1220 S Wood St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Board Of Trustees Of The University Of Illinois |
|---|---|
| Address | 1220 S Wood St, Chicago, Illinois |
| Phone Number | 3124131767 |
| Fax Number | 3123551916 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY T |
|---|---|
| Authorized Official Name | Vankuiken D Kristine |
| Credentials | CPHT |
| Telephone Number | 3123552035 |
NPI Number Detail
| NPI Number | 1790826352 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1220 S Wood St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606081202 |
| Phone Number | 3124131767 |
| Fax Number | 3123551916 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 54.017118 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 032-005960 | IL | STATE CONTROLLED SUBSTANC | |
| 1418006 | ID | NCPDP NUMBER | |
| 054-017118 | IL | STATE PHARMACY LICENSE | |
| 093-010041 | IL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Board Of Trustees Of The University Of Illinois?
The Board Of Trustees Of The University Of Illinois has been issued the NPI (National Provider Identifier) 1790826352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Board Of Trustees Of The University Of Illinois?
The Board Of Trustees Of The University Of Illinois is physically situated at 1220 S Wood St, in the city of Chicago, state of IL, with the postal code 606081202.
What is Board Of Trustees Of The University Of Illinois's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Board Of Trustees Of The University Of Illinois's specialized field of practice is Clinic Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0002X.
On what date did the Board Of Trustees Of The University Of Illinois receive its 1790826352 assignment from the Centers for Medicare & Medicaid Services?
The Board Of Trustees Of The University Of Illinois was assigned its 1790826352 by the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date were the Board Of Trustees Of The University Of Illinois's details last updated?
The information pertaining to the Board Of Trustees Of The University Of Illinois, including its address, specialty, and other details, was most recently updated on 2023-03-07.