Illinois Department Of Human in Kankakee - Long Term Care Pharmacy
Illinois Department Of Human - NPI 1528111424
Illinois Department Of Human is a Long Term Care Pharmacy in Kankakee, Illinois. Illinois Department Of Human practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Illinois Department Of Human is 1528111424. The last update date is 2022-07-13.
Illinois Department Of Human's current location address is 100 E Jeffery St, Kankakee, Illinois. You can contact this provider via phone number 8159398272 and fax number 8159398274. The mailing address for Illinois Department Of Human is 100 E Jeffery St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Department Of Human |
|---|---|
| Address | 100 E Jeffery St, Kankakee, Illinois |
| Phone Number | 8159398272 |
| Fax Number | 8159398274 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY M |
|---|---|
| Authorized Official Name | Sumner Ann Ronda |
| Credentials | RPH |
| Telephone Number | 8159398272 |
NPI Number Detail
| NPI Number | 1528111424 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2022-07-13 |
Provider Mailing Address Detail
| Address | 100 E Jeffery St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609015018 |
| Phone Number | 8159398272 |
| Fax Number | 8159398274 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 54.020222 |
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Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2023336 | PK |
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What is the unique 10-digit identifier code assigned to Illinois Department Of Human by the Centers for Medicare & Medicaid Services?
The Illinois Department Of Human has been issued the NPI (National Provider Identifier) 1528111424 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Illinois Department Of Human located?
The Illinois Department Of Human is located at 100 E Jeffery St, Kankakee, IL 609015018.
What is Illinois Department Of Human's specialized field of practice, and what is the corresponding taxonomy classification code?
The Illinois Department Of Human's area of specialization is Long Term Care Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336L0003X.
When did Illinois Department Of Human receive its 1528111424 assignment?
The Illinois Department Of Human was assigned its 1528111424 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Illinois Department Of Human, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Illinois Department Of Human, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-13.