Organization
ADVENTIST GLENOAKS HOSPITAL
Active
Other names
UCHICAGO MEDICINE ADVENTHEALTH PHARMACY GLENOAKS
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE GLASS (CHIEF FINANCIAL OFFICER)
(407) 454-2716
Entity
Organization
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-7310
(630) 545-7315
Mailing address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-7310
(630) 545-7315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482835
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
11/12/2024
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