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Organization
2014 HEALTH LLC
Active
Organization
2014 HEALTH LLC
Active
Other names
CHICAGO BEHAVIORAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN KRESCH (MANAGER)
(212) 243-5565
Entity
Organization
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(847) 768-5498
(847) 768-5324
Mailing address
555 WILSON LN, DES PLAINES, IL 60016-4729
(847) 768-5498
(847) 768-5324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018892
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150748
PK
—
05
—
800865012002
—
IL
Enumeration date
12/12/2006
Last updated
06/10/2021
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