NPI 1336925817 · live from the CMS NPI Registry
Adventist Bolingbrook Hospital
Pharmacy, Specialty Pharmacy in Bolingbrook, IL. National Provider Identifier 1336925817, active.
NPI record
| NPI | 1336925817 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Specialty Pharmacy 3336S0011X |
| Practice location | 500 Remington Blvd, Bolingbrook, IL 60440 |
| Practice phone | 630-312-3970 |
| Enumerated | August 31, 2023 |
| Last updated | November 12, 2024 |
| Authorized official | Tristan Shaw, Chief Financial Officer |
| Other names | Uchicago Medicine Adventhealth Pharmacy Bolingbrook |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Specialty Pharmacy primary | 3336S0011X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.