Organization
WM. W. FOX DEVELOPMENTAL CENTER
Active
Parent organization
ILLINOIS DEPARTMENT OF HUMAN SEVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINOIS DEPARTMENT OF HUMAN SEVICES
Authorized official
DR. TRENA LYNN MAGERS PHARMD (PHARMACY MANAGER)
(779) 249-6231
Entity
Organization
Contact information
Practice address
134 W MAIN ST, DWIGHT, IL 60420-1322
(815) 584-3347
(815) 584-3723
Mailing address
134 W MAIN ST, DWIGHT, IL 60420-1322
(779) 249-6231
(815) 584-3723
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
02/15/2024
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