Northshore University Healthsystem Kellogg Gb Pharmacy

LBN: Northshore University Healthsystem
Northshore University Healthsystem Kellogg Gb Pharmacy is an health care organization with primary practice located at 2180 Pfingsten Rd Ste 1008 , Glenview IL 60026-1339. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Northshore University Healthsystem can be contacted via phone (847) 503-1206, or through Welday, Douglas D via phone (847) 570-5099.

Contact Information

Primary practice address
2180 Pfingsten Rd Ste 1008 Glenview IL 60026-1339
Fax: (847) 503-1220
Website:
Authorized official contact:
Name: Welday, Douglas D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 054017887 Illinois

Profile Details

NPI number 1891052510
LBN Legal business name Northshore University Healthsystem
DBA Doing business as Northshore University Healthsystem Kellogg Gb Pharmacy
Authorized official Welday, Douglas D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2012
Last updated Sep 18th, 2020 - about 4 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 1891052510 NPPES
Illinois MEDICAID N/A
Illinois Other 2134685

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