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NPI Code Detail

MEDICARE: WELLGROUP HEALTHPARTNERS PHARMACY

MEDICARE: WELLGROUP HEALTHPARTNERS PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy054005480IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043276082
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLGROUP HEALTHPARTNERS PHARMACY
Provider Business Mailing Address
First Line : 333 DIXIE HWY
Second Line :
City : CHICAGO HTS
State : IL
Zip : 60411-1748
Country : US
Telephone Number : 708-755-1400
Fax Number : 708-709-6051
Provider Business Practice Location Address
First Line : 333 DIXIE HWY
Second Line :
City : CHICAGO HTS
State : IL
Zip : 60411-1748
Country : US
Telephone Number : 708-755-1400
Fax Number : 708-709-6051
Authorized Official
Title or Position : PHARMACIST
Name : WILLIAM J LEONARD
Credential : R.P.H.
Telephone Number : 708-709-6538
Provider Enumeration Date : 04/26/2006
Last Update Date : 11/15/2011

Similar Medicare Providers

1447214614 — DR. PATRICIA TIERNAN M.D.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
60411-1748
Practice Phone: 708-756-0100
Practice Fax: 708-709-6353
1962468363 — TONYA L COATS M.D.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
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1609832658 — WILLIAM J LEONARD R.P.H.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
60411-1748
Practice Phone: 708-709-6538
Practice Fax: 708-709-6051
1699733774 — ROBERT D. THOMAS M.D.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
60411-1748
Practice Phone: 708-756-0100
Practice Fax: 708-709-6353
1003862863 — MANUEL BARRERA M.D.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
60411-1748
Practice Phone: 708-756-0100
Practice Fax: 708-709-6353
1275570194 — FATIMA SULTAN M.D.
Practice Location Address:
333 DIXIE HWY
CHICAGO HTS, IL
60411-1748
Practice Phone: 708-756-0100
Practice Fax: 708-709-6353

Directions to “WELLGROUP HEALTHPARTNERS PHARMACY ” Practice Location

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