Organization · Type 2 NPI

Forum Extended Care SVC Inc II

Long Term Care Pharmacy · Chicago, IL

NPI number 1346291499 Active

Practice location

4201 W Victoria St
Chicago, IL 60646-6700

Fax (847) 673-6215

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	64001297A (IN)
Compounding Pharmacy	3336C0004X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed
Institutional Pharmacy	3336I0012X	1204-43 (WI)
Long Term Care Pharmacy Primary	3336L0003X	054017240 (IL)
Long Term Care Pharmacy	3336L0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

13 other providers at this address

Other long term care pharmacy providers in Chicago

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NPI record

NPI: 1346291499
Entity type: Organization (Type 2)
Issued: May 13, 2006
Last updated: Apr 22, 2021
Status: Active

Other names

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Forum Extended Care SVC Inc II · doing business as
Forum Extended Care SVC Inc II · doing business as

Authorized official

Brian Kramer
President
(847) 673-8727

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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 1346291499

Forum Extended Care SVC Inc II's National Provider Identifier is 1346291499, issued on May 13, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2021.