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ADVOCATE HEALTH AND HOSPITALS CORPORATION NPI 1619911468


NPI Information

NPI: 1619911468
Provider Name: ADVOCATE HEALTH AND HOSPITALS CORPORATION

Doing Business As: GOOD SAMARITAN HOSP AMBLTRY PHCY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3825 HIGHLAND AVE
SUITE 5F
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 275-1283
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ADVOCATE HEALTH AND HOSPITALS CORPORATION is a community/retail pharmacy pharmacy in Downers Grove, 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. ADVOCATE HEALTH AND HOSPITALS CORPORATION NPI is 1619911468. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Hosp Ambltry Phcy.

The provider's business location address is:

3825 HIGHLAND AVE
SUITE 5F
DOWNERS GROVE, IL
ZIP 60515-552
Phone: (630) 275-1283
Fax: (630) 275-5868

The provider's authorized official is Karen Chiganos .
The authorized official title is Pharmacist and has the following contact phone number (630) 275-1283.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/25/2009.


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
13336C0003XPharmacyCommunity/Retail Pharmacy058007247ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11444354OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2=========029MEDICAIDILLINOIS
3362169E11MEDICAIDILLINOIS

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: 5/5/2024

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