# SAINT JOSEPH HOSPITAL - ELGIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Healthcare Rx 1004
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316697436
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 77 N AIRLITE ST, ELGIN, IL 60123-4912
- **Practice address phone:** (847) 695-3200
- **Mailing address:** 77 N AIRLITE ST, ELGIN, IL 60123-4912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 04/16/2025