institution
Board Of Trustees Of The University Of Illinois
Clinic Pharmacy in Chicago, Illinois
NPI 1124212022

Board Of Trustees Of The University Of Illinois is a Clinic Pharmacy based in Chicago, IL and is specialized in Clinic Pharmacy. Board Of Trustees Of The University Of Illinois practices in Chicago, IL. The NPI Number for Board Of Trustees Of The University Of Illinois is 1124212022 and holds a License No. 054.017121 (Illinois).

The current practice location address for Board Of Trustees Of The University Of Illinois is 1801 W Taylor St, Chicago, IL and can be reached out via phone at 312-996-9058 and via fax at 312-355-1916.

Location: 1801 W Taylor St, Chicago, IL, 60612-4325
institution
Provider Profile Details
NPI Number
1124212022
Provider Name
Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
1801 W Taylor St, Chicago, IL, 60612-4325
Phone Number
312-996-9058
Fax Number
312-355-1916
Provider Enumeration Date
09/04/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0320008414 01 IL STATE CONTROLLED SUBSTANC
054-017121 01 IL STATE PHARMACY LICENSE
1481186 01 IL NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
1801 W Taylor St
City
State
Zip
60612-4795
Phone Number
312-996-9058
Fax Number
312-355-1916
person
Provider Business Mailing Address Details
Address
1801 W Taylor St
City
State
Zip
60612-4795
Phone Number
312-996-9058
Fax Number
312-355-1916
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
054.017121 (Illinois)
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.
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