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Organization
ADVENTIST GLENOAKS HOSPITAL
Active
Organization
ADVENTIST GLENOAKS HOSPITAL
Active
Other names
UCHICAGO MEDICINE ADVENTHEALTH PHARMACY GLENOAKS
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE GLASS (CHIEF FINANCIAL OFFICER)
(407) 454-2716
Entity
Organization
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-7310
(630) 545-7315
Mailing address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-7310
(630) 545-7315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482835
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
11/12/2024
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