# ADVENTIST GLENOAKS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCHICAGO MEDICINE ADVENTHEALTH PHARMACY GLENOAKS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386881290
- **Authorized official:** KYLE GLASS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (407) 454-2716

## Contact information

- **Practice address:** 701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
- **Practice address phone:** (630) 545-7310
- **Practice address fax:** (630) 545-7315
- **Mailing address:** 701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
- **Mailing address phone:** (630) 545-7310
- **Mailing address fax:** (630) 545-7315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 11/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1482835 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |