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ADVENTIST BOLINGBROOK HOSPITAL NPI 1184923260


NPI Information

NPI: 1184923260
Provider Name: ADVENTIST BOLINGBROOK HOSPITAL

Doing Business As: UCHICAGO MEDICINE ADVENTHEALTH PHARMACY BOLINGBROOK

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
500 REMINGTON BLVD
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 312-3970
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ADVENTIST BOLINGBROOK HOSPITAL is a community/retail pharmacy pharmacy in Bolingbrook, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ADVENTIST BOLINGBROOK HOSPITAL NPI is 1184923260. The provider is registered as an organization entity type.
The provider Is Doing Business As Uchicago Medicine Adventhealth Pharmacy Bolingbrook.

The provider's business location address is:

500 REMINGTON BLVD
BOLINGBROOK, IL
ZIP 60440-906
Phone: (630) 312-3970
Fax: (630) 312-6814

The provider's authorized official is Lisa Neuman .
The authorized official title is Vice President and has the following contact phone number (847) 590-2555.

The enumeration date for this NPI number is 3/15/2011 and was last updated on 2/28/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy054-017593ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184923260MEDICAIDILLINOIS
22129034OTHERPK

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: 4/28/2024

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