Organization
NESSET PAVILION PHARMACY
Active
Parent organization
ADVOCATE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCATE MEDICAL GROUP
Authorized official
LINDA B. GEHRT RPH (PHARMACY MANAGER)
(847) 318-2810
Entity
Organization
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2810
(847) 318-2795
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2810
(847) 318-2795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-40469
NABP
—
05
—
36-4024817003
—
IL
Enumeration date
08/03/2005
Last updated
10/23/2007
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