ADVOCATE HEALTH AND HOPSITALS CORPORATION (NPI# 1114063724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114063724 |
| Entity Type | Organization |
| Organization Name | ADVOCATE HEALTH AND HOPSITALS CORPORATION |
| Other Organization Name | CHRIST HOSPITAL OUTPATIENT PHARMACY |
| Practice Address |
4400 W 95th St Ste 101 Department of Pharmacy Oak Lawn IL 60453-2655 |
| Practice Telephone | 7086845275 |
| Practice Fax Number | 7086841712 |
| Mailing Telephone | 7086845275 |
| Mailing Fax Number | 7086841712 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MARY ANNE HICKMAN (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 7086845275 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054008972 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1431698 | 01 |
| Other Name | Type Code |
|---|---|
| CHRIST HOSPITAL OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429527 | Advocate Health and Hopsitals Corporation | Clinic/Center | 440 Quadrangle Dr Ste K, Bolingbrook, IL 60440-3455 | 2018-06-01 |
| 1912427899 | Advocate Health and Hopsitals Corporation | Non-Pharmacy Dispensing Site | 1700 Luther Ln Ste 2200, Park Ridge, IL 60068-1270 | 2017-06-22 |
| Street Address |
4400 W 95TH ST STE 101 DEPARTMENT OF PHARMACY |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699033761 | Amisha Shah | Internal Medicine | 4400 W 95th St Ste 101, Oak Lawn, IL 60453-2655 | 2012-04-26 |
| 1245506435 | Sophia Majid | Internal Medicine | 4400 W 95th St Ste 101, Oak Lawn, IL 60453-2655 | 2012-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528429909 | Suzanne Pharmacy Inc. | Pharmacy | 4647 W 103rd St Ste 1a, Oak Lawn, IL 60453-4792 | 2016-03-14 |
| 1093800278 | Gennaro Drugs | Pharmacy | 5549 W 87th St, Oak Lawn, IL 60453-1283 | 2006-10-04 |
| 1063447126 | Dewayne Drugs Inc. | Pharmacy | 4708 W 103rd St, Oak Lawn, IL 60453-4706 | 2006-07-11 |
| 1194133280 | Roundys Supermarkets Inc | Pharmacy | 11000 S Cicero Ave, Oak Lawn, IL 60453-5504 | 2014-08-01 |
| 1568730869 | Advantage Pharmacy Inc. | Pharmacy | 4425 W 95th St, Oak Lawn, IL 60453-7222 | 2011-12-01 |
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|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.