Organization Name:  DUPAGE COUNTY


Practice Location:
400 N COUNTY FARM RD RM G322 WHEATON, IL 60187 US
Tel: 630-784-4288  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	3336C0002X	Suppliers Pharmacy Clinic Pharmacy	IL	054017337

Other Provider Identifiers:

Issuer	Number	State	Type
PK	2021527		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin