Organization · Type 2 NPI

Board of Trustees of the University of Illinois

Clinic Pharmacy · Chicago, IL

NPI number 1790826352 Active

Practice location

1220 S Wood St, Room 1045 Mc 884
Chicago, IL 60608-1202

Call (312) 413-1767 Map

Fax (312) 355-1916

Mailing address

840 S Wood St, Room 345H Mc 884
Chicago, IL 60612-4325

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	054.017118 (IL)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

31 other providers at this address

Other clinic pharmacy providers in Chicago

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NPI record

NPI: 1790826352
Entity type: Organization (Type 2)
Issued: Feb 8, 2007
Last updated: Mar 7, 2023
Status: Active

Other names

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University of Illinois Mile Square Neighborhood Clinic Pharmacy · doing business as

Authorized official

Ms. Kristine D Vankuiken, CPHT
Pharmacy Technician Specialist
(312) 355-2035

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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 1790826352

Board of Trustees of the University of Illinois's National Provider Identifier is 1790826352, issued on Feb 8, 2007. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Chicago, IL. The record was last updated on Mar 7, 2023.