Healthcare Provider Details

I. General information

NPI: 1497825855
Provider Name (Legal Business Name): SWEDISH COVENANT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 N CALIFORNIA AVE SUITE F103
CHICAGO IL
60625-3513
US

IV. Provider business mailing address

3040 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1069
US

V. Phone/Fax

Practice location:
  • Phone: 773-989-6280
  • Fax: 773-989-6285
Mailing address:
  • Phone: 773-989-6280
  • Fax: 773-989-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054015359
License Number StateIL

VIII. Authorized Official

Name: CAROLYN CEKAL
Title or Position: SENIOR MANAGER
Credential:
Phone: 847-618-4604