Forum Extended Care Svc Inc Ii in Chicago - Compounding Pharmacy
Forum Extended Care Svc Inc Ii - NPI 1346291499
Forum Extended Care Svc Inc Ii is a Compounding Pharmacy in Chicago, Illinois. Forum Extended Care Svc Inc Ii practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Forum Extended Care Svc Inc Ii is 1346291499. The last update date is 2021-04-22.
Forum Extended Care Svc Inc Ii's current location address is 4201 W Victoria St, Chicago, Illinois. You can contact this provider via phone number 8476738727 and fax number 8476736215. The mailing address for Forum Extended Care Svc Inc Ii is 4201 W Victoria St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forum Extended Care Svc Inc Ii |
|---|---|
| Address | 4201 W Victoria St, Chicago, Illinois |
| Phone Number | 8476738727 |
| Fax Number | 8476736215 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kramer Brian |
| Telephone Number | 8476738727 |
NPI Number Detail
| NPI Number | 1346291499 |
|---|---|
| Provider Enumeration Date | 2006-05-13 |
| Last Updated Date | 2021-04-22 |
Provider Mailing Address Detail
| Address | 4201 W Victoria St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606466700 |
| Phone Number | 8476738727 |
| Fax Number | 8476736215 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36855933001 | IL | -- | |
| 33245400 | WI | -- | |
| 2022130 | PK | ||
| 201063520 A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Forum Extended Care Svc Inc Ii by the Centers for Medicare & Medicaid Services?
The Forum Extended Care Svc Inc Ii has been assigned the NPI (National Provider Identifier) 1346291499 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Forum Extended Care Svc Inc Ii's facilities are situated?
The facilities of Forum Extended Care Svc Inc Ii are physically located at the following address: 4201 W Victoria St, Chicago, IL, 606466700.
What is Forum Extended Care Svc Inc Ii's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Forum Extended Care Svc Inc Ii's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date did Forum Extended Care Svc Inc Ii receive its 1346291499 assignment from the Centers for Medicare & Medicaid Services?
The Forum Extended Care Svc Inc Ii was assigned its 1346291499 on 2006-05-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Forum Extended Care Svc Inc Ii's information last updated?
The Forum Extended Care Svc Inc Ii's information was last updated on 2021-04-22.