Organization · Type 2 NPI

Gottlieb Memorial Hospital

Pharmacy · Melrose Park, IL

NPI number 1124005517 Active

Practice location

675 W North Ave
Melrose Park, IL 60160-1634

Call (708) 450-4941 Map

Fax (708) 681-4673

Mailing address

701 W North Ave
Melrose Park, IL 60160-1612

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	054008713 (IL)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

88 other providers at this address

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NPI record

NPI: 1124005517
Entity type: Organization (Type 2)
Issued: Dec 27, 2005
Last updated: Nov 16, 2020
Status: Active
Subpart: Yes of Gottlieb Memorial Hospital

Other names

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Gottlieb Professional Building Pharmacy · doing business as

Authorized official

Ms. Adenrele Adekunbi Kolawole
Director Billing Operations
(708) 216-3743

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124005517

Gottlieb Memorial Hospital's National Provider Identifier is 1124005517, issued on Dec 27, 2005. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Melrose Park, IL. The record was last updated on Nov 16, 2020.