Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIDWEST SPECIALTY PHARMACY LLC
Active
Organization
MIDWEST SPECIALTY PHARMACY LLC
Active
Other names
Midwest Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FEDJA TEMIM (DIRECTOR)
(312) 690-4585
Entity
Organization
Contact information
Practice address
712 N DEARBORN ST, STE. 3A, CHICAGO, IL 60654-3846
(312) 690-4585
(312) 690-4575
Mailing address
712 N DEARBORN ST, STE. 3A, CHICAGO, IL 60654-3846
(312) 690-4585
(312) 690-4575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054020297
IL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168676
PK
—
Enumeration date
04/05/2017
Last updated
04/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers