| NPI | 1740316660 |
|---|---|
| Doing Business As | UNIVERSITY OF ILLINOIS DERMATOLOGY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WALTER K KNORR Vice President, CFO, Com PT Roller 312-996-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 93013079) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-01-29 |