Wellgroup Healthpartners Pharmacy

LBN: Wellgroup Healthpartners Pharmacy
Wellgroup Healthpartners Pharmacy is an health care organization with primary practice located at 333 Dixie Hwy , Chicago Hts IL 60411-1748. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Wellgroup Healthpartners Pharmacy can be contacted via phone (708) 755-1400, or through Leonard, William J via phone (708) 709-6538.

Contact Information

Primary practice address
333 Dixie Hwy Chicago Hts IL 60411-1748
Fax: (708) 709-6051
Website:
Authorized official contact:
Name: Leonard, William J R.P.H.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054005480 Illinois

Profile Details

NPI number 1043276082
LBN Legal business name Wellgroup Healthpartners Pharmacy
DBA Doing business as
Authorized official Leonard, William J R.P.H.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 15th, 2011 - about 13 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 1043276082 NPPES
Illinois MEDICAID 362662795001

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