University Of Illinois Mile Square Neighborhood Clinic Pharmacy
LBN: Board Of Trustees Of The University Of Illinois
University Of Illinois Mile Square Neighborhood Clinic Pharmacy is an health care organization with primary practice located at 1220 S Wood St Room 1045 Mc 884, Chicago IL 60608-1202. 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) 413-1767, or through Vankuiken, Kristine D via phone (312) 355-2035.
Contact Information
Primary practice address
1220 S Wood St Room 1045 Mc 884
Chicago IL 60608-1202
Phone: (312) 413-1767
Fax: (312) 355-1916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | 054.017118 | Illinois |
Profile Details
| NPI number | 1790826352 |
|---|---|
| LBN Legal business name | Board Of Trustees Of The University Of Illinois |
| DBA Doing business as | University Of Illinois Mile Square Neighborhood Clinic Pharmacy |
| Authorized official | Vankuiken, Kristine D CPHT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790826352 | NPPES |
| Illinois | Other | 032-005960 | STATE CONTROLLED SUBSTANC |
| Illinois | Other | 1418006 | STATE CONTROLLED SUBSTANC |
| Illinois | Other | 054-017118 | STATE CONTROLLED SUBSTANC |
| Illinois | Other | 093-010041 | STATE CONTROLLED SUBSTANC |
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