Healthcare Provider Details

I. General information

NPI: 1023318458
Provider Name (Legal Business Name): MEDPOINT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 GOLF RD SUITE B
ROLLING MEADOWS IL
60008-4216
US

IV. Provider business mailing address

PO BOX 71975
CHICAGO IL
60694-1975
US

V. Phone/Fax

Practice location:
  • Phone: 847-960-5819
  • Fax: 888-467-9635
Mailing address:
  • Phone: 855-237-9112
  • Fax: 888-467-9635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054018684
License Number StateIL

VIII. Authorized Official

Name: PRITI PATEL
Title or Position: PRESIDENT
Credential:
Phone: 888-467-9629