Kosirog Pharmacy Inc

LBN: Kosirog Pharmacy Inc
Kosirog Pharmacy Inc is an health care organization with primary practice located at 1000 N Western Ave , Chicago IL 60622-3685. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Kosirog Pharmacy Inc can be contacted via phone (773) 486-3998, or through Kosirog, Glenn R via phone (773) 486-3998.

Contact Information

Primary practice address
1000 N Western Ave Chicago IL 60622-3685
Phone: (773) 486-3998
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kosirog, Glenn R
Phone: (773) 486-3998

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1184693194
LBN Legal business name Kosirog Pharmacy Inc
DBA Doing business as
Authorized official Kosirog, Glenn R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 6th, 2012 - about 12 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 1184693194 NPPES
Illinois Other 1671077 BCBS

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