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Forum Extended Care Services Of Central Illinois
Long Term Care Pharmacy in Springfield, Illinois
NPI 1689024036

Forum Extended Care Services Of Central Illinois is a Long Term Care Pharmacy based in Chicago, IL and is specialized in Long Term Care Pharmacy. Forum Extended Care Services Of Central Illinois practices in Springfield, IL. The NPI Number for Forum Extended Care Services Of Central Illinois is 1689024036 and holds a License No. (Illinois).

The current practice location address for Forum Extended Care Services Of Central Illinois is 2205 Wabash Ave Ste 211, Springfield, IL and can be reached out via phone at 847-673-8727 and via fax at 847-673-6215. You can also correspond with Forum Extended Care Services Of Central Illinois through the mailing address at 4201 W VICTORIA ST, CHICAGO, IL - 60646-6700 (mailing address contact number: 847-673-8727).

Location: 2205 Wabash Ave Ste 211, Springfield, IL, 60646-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689024036
Provider Name
Forum Extended Care Services Of Central Illinois
Credential
Provider Entity Type
Organization
Address
2205 Wabash Ave Ste 211, Springfield, IL, 60646-6700
Phone Number
847-673-8727
Fax Number
847-673-6215
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2160632 01 PK
institution
Provider Business Practice Location Address Details
Address
2205 Wabash Ave Ste 211
City
Springfield
State
Illinois
Zip
62704-5356
Phone Number
847-673-8727
Fax Number
847-673-6215
person
Provider Business Mailing Address Details
Address
2205 Wabash Ave Ste 211
City
Springfield
State
Illinois
Zip
62704-5356
Phone Number
847-673-8727
Fax Number
847-673-6215
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054020139 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
()
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
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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