FORUM EXTENDED CARE SERVICES OF CENTRAL ILLINOIS NPI 1689024036

NPI Information

FORUM EXTENDED CARE SERVICES OF CENTRAL ILLINOIS is a long term care pharmacy pharmacy in Springfield, 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 SERVICES OF CENTRAL ILLINOIS NPI is 1689024036. The provider is registered as an organization entity type.
The provider Is Doing Business As Forum Extended Care Services Of Central Illinois.

The provider's business location address is:

2205 WABASH AVE STE 211
SPRINGFIELD, IL
ZIP 62704-356
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 6/16/2016 and was last updated on 1/31/2022.

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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