COSTCO NPI 1164826772

NPI Information

  • NPI: 1164826772
  • Provider Name: COSTCO
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 25901 N RIVERWOODS RD
    METTAWA, IL
    ZIP 60045
  • Phone: (847) 235-1302

Map and Directions

Get Directions

NPI Details

COSTCO is a health service clinic center in Mettawa, IL. COSTCO NPI is 1164826772. The provider is registered as an organization entity type.

The provider's business location address is:

25901 N RIVERWOODS RD
METTAWA, IL
ZIP 60045-403
Phone: (847) 235-1302

The provider's authorized official is Angela Lee .
The authorized official title is Pharmacist and has the following contact phone number (773) 988-2479.

The enumeration date for this NPI number is 10/11/2014 and was last updated on 10/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service051295396ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.