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FORUM EXTENDED CARE SVC INC II NPI 1346291499


NPI Information

NPI: 1346291499
Provider Name: FORUM EXTENDED CARE SVC INC II

Doing Business As: FORUM EXTENDED CARE SVC INC II

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4201 W VICTORIA ST
CHICAGO, IL
ZIP 60646
Phone: (847) 673-8727
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FORUM EXTENDED CARE SVC INC II is a long term care pharmacy pharmacy in Chicago, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FORUM EXTENDED CARE SVC INC II NPI is 1346291499. The provider is registered as an organization entity type.
The provider Is Doing Business As Forum Extended Care Svc Inc Ii.

The provider's business location address is:

4201 W VICTORIA ST
CHICAGO, IL
ZIP 60646-700
Phone: (847) 673-8727
Fax: (847) 673-6215

The provider's authorized official is Brian Kramer .
The authorized official title is President and has the following contact phone number (847) 673-8727.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 4/22/2021.


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
1333600000XPharmacy64001297AINDIANANo
23336H0001XPharmacyHome Infusion Therapy PharmacyNo
33336I0012XPharmacyInstitutional Pharmacy1204-43WISCONSINNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336L0003XPharmacyLong Term Care Pharmacy054017240ILLINOISYes
63336S0011XPharmacySpecialty PharmacyNo
73336C0004XPharmacyCompounding PharmacyNo

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
133245400MEDICAIDWISCONSIN
236855933001MEDICAIDILLINOIS
3201063520 AMEDICAIDINDIANA
42022130OTHERPK

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: 11/14/2023

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.