institution
Board Of Trustees Of The University Of Illinois
Clinic Pharmacy in Chicago, Illinois
NPI 1790826352

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 1790826352 and holds a License No. 054.017118 (Illinois).

The current practice location address for Board Of Trustees Of The University Of Illinois is 1220 S Wood St, Chicago, IL and can be reached out via phone at 312-413-1767 and via fax at 312-355-1916.

Location: 1220 S Wood St, Chicago, IL, 60612-4325
institution
Provider Profile Details
NPI Number
1790826352
Provider Name
Board Of Trustees Of The University Of Illinois
Credential
Provider Entity Type
Organization
Address
1220 S Wood St, Chicago, IL, 60612-4325
Phone Number
312-413-1767
Fax Number
312-355-1916
Provider Enumeration Date
02/08/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
032-005960 01 IL STATE CONTROLLED SUBSTANC
1418006 01 ID NCPDP NUMBER
054-017118 01 IL STATE PHARMACY LICENSE
093-010041 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1220 S Wood St
City
State
Zip
60608-1202
Phone Number
312-413-1767
Fax Number
312-355-1916
person
Provider Business Mailing Address Details
Address
1220 S Wood St
City
State
Zip
60608-1202
Phone Number
312-413-1767
Fax Number
312-355-1916
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
054.017118 (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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