Organization
WELLGROUP HEALTHPARTNERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J LEONARD R.P.H. (PHARMACIST)
(708) 709-6538
Entity
Organization
Contact information
Practice address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 755-1400
(708) 709-6051
Mailing address
333 DIXIE HWY, CHICAGO HTS, IL 60411-1748
(708) 755-1400
(708) 709-6051
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
054005480
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362662795001
—
IL
Enumeration date
04/26/2006
Last updated
11/15/2011
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