NPI 1497837009 · live from the CMS NPI Registry
29 E Madison Corp
Pharmacy, Community/Retail Pharmacy in Chicago, IL. National Provider Identifier 1497837009, active.
NPI record
| NPI | 1497837009 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 25 E Washington St Lowr 53, Lower Level Pedway, Chicago, IL 60602 |
| Practice phone | 312-263-7194 |
| Enumerated | October 20, 2006 |
| Last updated | March 9, 2010 |
| Authorized official | Mark Edelheit, Owner |
| Other names | Ivan T Matthei Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 054013583 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.