Healthcare Provider Details

I. General information

NPI: 1629213988
Provider Name (Legal Business Name): CHICAGO MEDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HOWARD ST
DES PLAINES IL
60018
US

IV. Provider business mailing address

200 E HOWARD ST SUITE 226
DES PLAINES IL
60018
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-9400
  • Fax: 847-297-9401
Mailing address:
  • Phone: 847-297-9400
  • Fax: 847-297-9401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number054.017149
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JULIE DEPALMA
Title or Position: PRESIDENT
Credential:
Phone: 847-297-9400