| NPI | 1124212022 |
|---|---|
| Doing Business As | UNIVERSITY OF ILLINOIS OUTPATIENT CARE CENTER PHARAMCY |
| Entity Type | Organization |
| Authorized Contact | KRISTINE D VANKUIKEN Pharmacy Technician Specialist 312-355-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 054.017121) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2023-03-07 |