Organization
2014 HEALTH LLC
Active
Other names
CHICAGO BEHAVIORAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN KRESCH (MANAGER)
(212) 243-5565
Entity
Organization
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(847) 768-5498
(847) 768-5324
Mailing address
555 WILSON LN, DES PLAINES, IL 60016-4729
(847) 768-5498
(847) 768-5324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018892
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150748
PK
—
05
—
800865012002
—
IL
Enumeration date
12/12/2006
Last updated
06/10/2021
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