111Th Pharma-Family

LBN: 111Th Pharma-Family
111Th Pharma-Family is an health care organization with primary practice located at 11101 S State St , Chicago IL 60628-4206. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. 111Th Pharma-Family can be contacted via phone (708) 503-9845, or through Vanjackson, Adele via phone (708) 503-9845.

Contact Information

Primary practice address
11101 S State St Chicago IL 60628-4206
Phone: (708) 503-9845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vanjackson, Adele RPH
Phone: (708) 503-9845

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 051035317 Illinois

Profile Details

NPI number 1659616175
LBN Legal business name 111Th Pharma-Family
DBA Doing business as
Authorized official Vanjackson, Adele RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2012
Last updated Dec 10th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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