Organization
OPTUMRX HOME DELIVERY OF ILLINOIS LLC
Active
Other names
OptumRx of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
YONG LEE (PIC)
(331) 201-3665
Entity
Organization
Contact information
Practice address
2441 WARRENVILLE RD, 5TH FLOOR, LISLE, IL 60532-3664
(630) 328-5912
(877) 762-9551
Mailing address
1600 MCCONNOR PKWY, SCHAUMBURG, IL 60173-6801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
054.019864
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148935
PK
—
Enumeration date
11/25/2014
Last updated
08/10/2016
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