University Of Illinois - Dermatology Pharmacy
LBN: Board Of Trustees Of The University Of Illinois
University Of Illinois - Dermatology Pharmacy is an health care organization with primary practice located at 1801 W Taylor St Room 309 Mc 884, Chicago IL 60612-4795. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty.
Board Of Trustees Of The University Of Illinois can be contacted via phone (312) 996-8675, or through Vankuiken, Kristine D via phone (312) 355-2035.
Contact Information
Primary practice address
1801 W Taylor St Room 309 Mc 884
Chicago IL 60612-4795
Phone: (312) 996-8675
Fax: (312) 355-1916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | 054-017119 | Illinois |
Profile Details
| NPI number | 1528109170 |
|---|---|
| LBN Legal business name | Board Of Trustees Of The University Of Illinois |
| DBA Doing business as | University Of Illinois - Dermatology Pharmacy |
| Authorized official | Vankuiken, Kristine D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528109170 | NPPES |
| Illinois | Other | 054-017119 | STATE LICENSE |
| Illinois | Other | 032-006004 | STATE LICENSE |
| Illinois | Other | 1453391 | STATE LICENSE |
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