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Illinois Department Of Human
Long Term Care Pharmacy in Kankakee, Illinois
NPI 1528111424

Illinois Department Of Human is a Long Term Care Pharmacy based in Kankakee, IL and is specialized in Long Term Care Pharmacy. Illinois Department Of Human practices in Kankakee, IL. The NPI Number for Illinois Department Of Human is 1528111424 and holds a License No. 054.020222 (Illinois).

The current practice location address for Illinois Department Of Human is 100 E Jeffery St, Kankakee, IL and can be reached out via phone at 815-939-8272 and via fax at 815-939-8274.

Location: 100 E Jeffery St, Kankakee, IL, 60901-5018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528111424
Provider Name
Illinois Department Of Human
Credential
Provider Entity Type
Organization
Address
100 E Jeffery St, Kankakee, IL, 60901-5018
Phone Number
815-939-8272
Fax Number
815-939-8274
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2023336 01 PK
institution
Provider Business Practice Location Address Details
Address
100 E Jeffery St
City
Kankakee
State
Illinois
Zip
60901-5018
Phone Number
815-939-8272
Fax Number
815-939-8274
person
Provider Business Mailing Address Details
Address
100 E Jeffery St
City
Kankakee
State
Illinois
Zip
60901-5018
Phone Number
815-939-8272
Fax Number
815-939-8274
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
054.020222 (Illinois)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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