BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI 1447390125

NPI Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS is a clinic pharmacy pharmacy in Chicago, IL. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS NPI is 1447390125. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Illinois - University Village Pharmacy.

The provider's business location address is:

722 W MAXWELL ST
ROOM 205 MC 184
CHICAGO, IL
ZIP 60607-002
Phone: (312) 355-2345
Fax: (312) 355-1916

The provider's authorized official is Kristine D Vankuiken .
The authorized official title is Pharmacy Technician Specialist and has the following contact phone number (312) 355-2035.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/21/2017.

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:

Other Identifiers

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

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