National Provider Identifier Database

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W TAYLOR ST
ROOM 1411 MC 884
CHICAGO, IL60612-4795
Phone: 312-996-6985
Fax: 312-355-1916
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

NPI Number 1619018264
Legal business name
LBN
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official KRISTINE VANKUIKEN - (PHARMACY TECHNICIAN SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 054.017120
  • IL Other: 1453416 NCPDP NUMBER
  • IL Other: 054-017120 SATE LICENSE NUMBER
  • IL Other: 032-006005 STATE CONTROLLED SUBSTANC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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