| NPI | 1689024036 |
|---|---|
| Doing Business As | FORUM EXTENDED CARE SERVICES OF CENTRAL ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | BRIAN KRAMER President 847-673-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054020139) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-01-31 |