PRESENCE CHICAGO HOSPITALS NETWORK (NPI# 1841305877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841305877 |
Entity Type | Organization |
Organization Name | PRESENCE CHICAGO HOSPITALS NETWORK |
Other Organization Name | PRESENCE NAZARETH FAMILY CENTER PHARMACY |
Practice Address |
1127 N Oakley Blvd Ste 137 Chicago IL 60622-3507 |
Practice Telephone | 3127703444 |
Practice Fax Number | 3127703541 |
Mailing Telephone | 3127703444 |
Mailing Fax Number | 3127703541 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-03-24 |
Authorized Official Name | BRIAN SAN PEDRO (PHARMACY MANAGER) |
Authorized Official Telephone | 3127703444 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.019887 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 362171079013 | 05 | |
PK | 2022429 | 01 |
Other Name | Type Code |
---|---|
Presence Nazareth Family Center Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467494054 | Presence Chicago Hospitals Network | Pharmacy | 800 Austin St Ste 101w, Evanston, IL 60202-3450 | 2006-06-11 |
1124474440 | Presence Chicago Hospitals Network | Psychiatric Unit | 2233 W Division St, Chicago, IL 60622-8151 | 2016-05-05 |
1275998791 | Presence Chicago Hospitals Network | Internal Medicine | 2233 W Division St, Chicago, IL 60622-8151 | 2015-12-29 |
1932564754 | Presence Chicago Hospitals Network | Internal Medicine | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2015-12-21 |
1700251683 | Presence Chicago Hospitals Network | Internal Medicine | 2900 N Lake Shore Dr, 2nd Floor, Chicago, IL 60657-5640 | 2015-12-03 |
1255706131 | Presence Chicago Hospitals Network | Internal Medicine | 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 | 2015-12-03 |
1487028825 | Presence Chicago Hospitals Network | Family Medicine | 711 W North Ave, Chicago, IL 60610-1174 | 2015-11-23 |
1821462268 | Presence Chicago Hospitals Network | Internal Medicine | 2913 N Commonwealth Ave, Chicago, IL 60657-6211 | 2015-11-23 |
1285008623 | Presence Chicago Hospitals Network | Family Medicine | 7447 W Talcott Ave, Suite 182, Chicago, IL 60631-3745 | 2015-11-23 |
1114391554 | Presence Chicago Hospitals Network | Family Medicine | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2015-11-23 |
Street Address |
1127 N OAKLEY BLVD STE 137 |
City | CHICAGO |
State | IL |
Zip Code | 60622-3507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386202216 | Verenisse Torres | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Fl 2, Chicago, IL 60622-3507 | 2019-06-05 |
1093271116 | Iesha D Harris | Counselor | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2019-02-13 |
1972085447 | Alexys Marie Opel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-31 |
1902387715 | Christina Marie Chavira | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-29 |
1104307966 | Yadira Chavez | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
1629559521 | Bianca Mckenzie Mack | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
1285115436 | Bridget Stukel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-26 |
1659851483 | Erin Hohman Ameri | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
1558841247 | Angelica Picado | Clinic/Center | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
1285112904 | Amanda Schmitt | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
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 |
---|---|---|---|---|
1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
1558994921 | Diaz Holdings, Inc. | Pharmacy | 3204 W Lawrence Ave, Chicago, IL 60625-5209 | 2020-02-13 |
1427698349 | Heena Vital Rx, Inc. | Pharmacy | 1525 E 55th St Ste 103, Chicago, IL 60615-5514 | 2020-01-08 |
1952944563 | Ameer Pharmacy Inc. | Pharmacy | 104 W 111th St, Chicago, IL 60628-4215 | 2019-10-26 |
1255981106 | Elsdon Pharmacy, Inc. | Pharmacy | 4254 W 55th St Ste 100, Chicago, IL 60632-4642 | 2019-09-12 |
1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
Find all providers in CHICAGO |
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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.