Healthcare Provider Details
I. General information
NPI: 1558259093
Provider Name (Legal Business Name): WINDYCITY PHARMACIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1089 N SALEM DR
SCHAUMBURG IL
60194-1331
US
IV. Provider business mailing address
2500 W HIGGINS RD STE 1278
HOFFMAN ESTATES IL
60169-2051
US
V. Phone/Fax
- Phone: 847-786-8479
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KINJAL
PATEL
Title or Position: OWNER
Credential:
Phone: 321-315-4665