Fantus Health Center Pharmacy

LBN: Cook County
Fantus Health Center Pharmacy is an health care organization with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Cook County can be contacted via phone (312) 864-6189, or through Busker, John via phone (312) 864-2194.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-6189
Fax: (312) 864-9288
Website:
Map and Directions
Authorized official contact:
Name: Busker, John
Phone: (312) 864-2194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054014914 Illinois

Profile Details

NPI number 1013035781
LBN Legal business name Cook County
DBA Doing business as Fantus Health Center Pharmacy
Authorized official Busker, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2007
Last updated Apr 25th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013035781 NPPES
Other 2021374 PK

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