Organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Active
Other names
University of Illinois - University Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINE D VANKUIKEN (PHARMACY TECHNICIAN SPECIALIST)
(312) 355-2035
Entity
Organization
Contact information
Practice address
722 W MAXWELL ST, ROOM 205 MC 184, CHICAGO, IL 60607-5002
(312) 355-2345
(312) 355-1916
Mailing address
840 S WOOD ST, ROOM 345H MC 884, CHICAGO, IL 60612-4325
(312) 355-2035
(312) 355-1916
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
054.017253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032-008745
STATE CONTROLLED SUBSTANC
IL
01
—
054-017253
STATE PHARMACY LICENSE
IL
01
—
1479876
NCPDP NUMBER
IL
Enumeration date
02/08/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us