Organization
WALGREENS CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BODAM (DISTRICT MANAGER)
(847) 284-2576
Entity
Organization
Contact information
Practice address
624 PORTSMOUTH PL, WHEELING, IL 60090-2633
(847) 924-3071
Mailing address
624 PORTSMOUTH PL, WHEELING, IL 60090-2633
(847) 924-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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