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Nursing Facility Supplies, Customized Equipment

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BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Medical Equipment Supplier Yellow Pages

Chicago, Illinois

Provider NPI: 1447390125

Organization Information:
Organization Name:  BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS


Practice Location:
722 W MAXWELL ST ROOM 205 MC 184 CHICAGO, IL 60607 US
Tel: 312-355-2345  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
IL054.017253

Other Provider Identifiers:

IssuerNumberStateType
STATE CONTROLLED SUBSTANC032-008745IL01
NCPDP NUMBER1479876IL01
STATE PHARMACY LICENSE054-017253IL01
DEA NUMBERBU9820071IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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