MEDICARE: PROCARE PHARMACEUTICALS LLC

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	3336L0003X	Long Term Care Pharmacy
2	333600000X	Pharmacy		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1478545	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1295761401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROCARE PHARMACEUTICALS LLC

Provider Business Mailing Address
First Line	:	5061 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2706
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5061 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2706
Country	:	US
Telephone Number	:	773-463-2157
Fax Number	:	773-463-2583

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	CHARLES BENAIN
Credential	:
Telephone Number	:	773-463-2157

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	09/11/2025

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Directions to “PROCARE PHARMACEUTICALS LLC ” Practice Location

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