MEDICARE: EXCLUSIVE RX INC

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
1	333600000X	Pharmacy	054020359	IL

General Provider Information

NPI Number	:	1962923201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCLUSIVE RX INC

Provider Business Mailing Address
First Line	:	6352 N LINCOLN AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1213
Country	:	US
Telephone Number	:	773-262-6800
Fax Number	:	773-564-9717

Provider Business Practice Location Address
First Line	:	6352 N LINCOLN AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-1213
Country	:	US
Telephone Number	:	773-262-6800
Fax Number	:	773-564-9717

Authorized Official
Title or Position	:	OWNER
Name	:	BILAL CHAUDHARY
Credential	:
Telephone Number	:	773-262-6800

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	02/03/2025

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