Organization
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Active
Other names
GOOD SAMARITAN HOSP AMBLTRY PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CHIGANOS BS PHARMACY (PHARMACIST)
(630) 275-1283
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 5F, DOWNERS GROVE, IL 60515-1552
(630) 275-1283
(630) 275-5868
Mailing address
3825 HIGHLAND AVE, SUITE 5F, DOWNERS GROVE, IL 60515-1552
(630) 971-5878
(630) 275-5868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
058007247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1444354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
362169E11
—
IL
Enumeration date
06/15/2006
Last updated
08/25/2009
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