Lagrange Road Pharmacy

LBN: Du Page Medical Group Ltd
Lagrange Road Pharmacy is an health care organization with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Du Page Medical Group Ltd can be contacted via phone (708) 226-7100, or through Agarwal, Nitika via phone (630) 432-6371.

Contact Information

Primary practice address
17495 La Grange Rd Tinley Park IL 60487-7581
Phone: (708) 226-7100
Fax: (708) 226-7178
Website:
Map and Directions
Authorized official contact:
Name: Agarwal, Nitika
Phone: (630) 432-6371

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054019950 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1154481588
LBN Legal business name Du Page Medical Group Ltd
DBA Doing business as Lagrange Road Pharmacy
Authorized official Agarwal, Nitika
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 20th, 2017 - about 7 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 1154481588 NPPES
Other 2162402 PK

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