Organization
ADVENTIST BOLINGBROOK HOSPITAL
Active
Other names
UCHICAGO MEDICINE ADVENTHEALTH PHARMACY BOLINGBROOK
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN SHAW (CHIEF FINANCIAL OFFICER)
(630) 312-6008
Entity
Organization
Contact information
Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-3970
Mailing address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-3970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
11/12/2024
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