# ADVOCATE HEALTH AND HOSPITALS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOOD SAMARITAN HOSP AMBLTRY PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619911468
- **Authorized official:** KAREN CHIGANOS BS PHARMACY (PHARMACIST)
- **Authorized official phone:** (630) 275-1283

## Contact information

- **Practice address:** 3825 HIGHLAND AVE, SUITE 5F, DOWNERS GROVE, IL 60515-1552
- **Practice address phone:** (630) 275-1283
- **Practice address fax:** (630) 275-5868
- **Mailing address:** 3825 HIGHLAND AVE, SUITE 5F, DOWNERS GROVE, IL 60515-1552
- **Mailing address phone:** (630) 971-5878
- **Mailing address fax:** (630) 275-5868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 058007247 | IL | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1444354 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 362169E11 | — | IL |