Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM
Active
Other names
Northshore University Healthsystem Kellogg GB Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS D WELDAY (CFO)
(847) 570-5099
Entity
Organization
Contact information
Practice address
2180 PFINGSTEN RD STE 1008, GLENVIEW, IL 60026-1339
(847) 503-1206
(847) 503-1220
Mailing address
1301 CENTRAL ST RM 222, EVANSTON, IL 60201-1613
(847) 570-2000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
054017887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134685
PK
—
05
—
N/A
—
IL
Enumeration date
04/19/2012
Last updated
09/18/2020
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