University Of Illinois Wood Street Pcc Pharmacy

LBN: Board Of Trustees Of The University Of Illinois
University Of Illinois Wood Street Pcc Pharmacy is an health care organization with primary practice located at 840 S Wood St Room 163 Mc 884, Chicago IL 60612-4325. 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) 996-6887, or through Vankuiken, Kristine D via phone (312) 355-2035.

Contact Information

Primary practice address
840 S Wood St Room 163 Mc 884 Chicago IL 60612-4325
Phone: (312) 996-6887
Fax: (312) 355-1916
Website:
Map and Directions
Authorized official contact:
Name: Vankuiken, Kristine D
Phone: (312) 355-2035

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054.017116 Illinois

Profile Details

NPI number 1669512323
LBN Legal business name Board Of Trustees Of The University Of Illinois
DBA Doing business as University Of Illinois Wood Street Pcc 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669512323 NPPES
Illinois Other 054017116 STATE LICENSE NUMBER
Illinois Other 1453428 STATE LICENSE NUMBER
Illinois Other 032-005923 STATE LICENSE NUMBER

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