MEDICARE: ABBVIE ENDOCRINOLOGY INC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy
4	3336H0001X	Home Infusion Therapy Pharmacy
5	3336S0011X	Specialty Pharmacy	054016458	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2023484	OTHER		PK

General Provider Information

NPI Number	:	1326042870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBVIE ENDOCRINOLOGY INC

Provider Business Mailing Address
First Line	:	1 N WAUKEGAN RD
Second Line	:	AP5 NE
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	888-857-0668
Fax Number	:	847-937-3216

Provider Business Practice Location Address
First Line	:	1 N WAUKEGAN RD
Second Line	:	AP5 NE
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-1802
Country	:	US
Telephone Number	:	888-857-0668
Fax Number	:	847-937-3216

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR PHARMACY SERVICE
Name	:	PATRICK JEROME
Credential	:	PHARMD
Telephone Number	:	708-404-4857

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/14/2025

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