Nesset Pavilion Pharmacy

LBN: Nesset Pavilion Pharmacy
Nesset Pavilion Pharmacy is an health care organization with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Nesset Pavilion Pharmacy can be contacted via phone (847) 318-2810, or through Gehrt, Linda B. via phone (847) 318-2810.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Fax: (847) 318-2795
Website:
Authorized official contact:
Name: Gehrt, Linda B. RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Illinois

Profile Details

NPI number 1760483465
LBN Legal business name Nesset Pavilion Pharmacy
DBA Doing business as
Authorized official Gehrt, Linda B. RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Oct 23rd, 2007 - about 17 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 1760483465 NPPES
Illinois MEDICAID 36-4024817003
Illinois Other 14-40469

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