institution
Board Of Trustees Of The University Of Illinois
Clinic Pharmacy in Chicago, Illinois
NPI 1669512323

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 1669512323 and holds a License No. 054.017116 (Illinois).

The current practice location address for Board Of Trustees Of The University Of Illinois is 840 S Wood St, Chicago, IL and can be reached out via phone at 312-996-6887 and via fax at 312-355-1916.

Location: 840 S Wood St, Chicago, IL, 60612-4325
institution
Provider Profile Details
NPI Number
1669512323
Provider Name
Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
840 S Wood St, Chicago, IL, 60612-4325
Phone Number
312-996-6887
Fax Number
312-355-1916
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054017116 01 IL STATE LICENSE NUMBER
1453428 01 IL NCPDP NUMBER
032-005923 01 IL STATE CONTROLLED SUBSTANC
institution
Provider Business Practice Location Address Details
Address
840 S Wood St
City
State
Zip
60612-4325
Phone Number
312-996-6887
Fax Number
312-355-1916
person
Provider Business Mailing Address Details
Address
840 S Wood St
City
State
Zip
60612-4325
Phone Number
312-996-6887
Fax Number
312-355-1916
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
054.017116 (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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