MEDICARE: WALGREEN CO

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	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	054.019073	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1444912	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1710992037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS #790
City	:	DANVILLE
State	:	IL
Zip	:	61834-4509
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	4010 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-4313
Country	:	US
Telephone Number	:	773-286-0309
Fax Number	:	773-286-2645

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA L TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	11/03/2023

Similar Medicare Providers

1184616328 — CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice Location Address:

BACK OF THE YARDS MENTAL HEALTH CENTER , 4313 S ASHLAND
CHICAGO, IL
40609

Practice Phone: 312-747-3560
Practice Fax: 312-747-8974

1811966104 — TERENCE K PATRICK D.C.
Practice Location Address:

4111 W 26TH ST
CHICAGO, IL
60623-4313

Practice Phone: 815-766-0534
Practice Fax:

1467498022 — MANISH D PANDYA DC
Practice Location Address:

4111 W 26TH ST
CHICAGO, IL
60623-4313

Practice Phone: 773-542-1111
Practice Fax: 773-542-7100

1467556522 — OAK BROOK CENTER FOR HEALTH II
Practice Location Address:

4111 W 26TH ST
CHICAGO, IL
60623-4313

Practice Phone: 630-990-2424
Practice Fax:

1124105747 — WEST CHICAGO FAMILY FOOT CENTER
Practice Location Address:

4103 W 26TH ST
CHICAGO, IL
60623-4313

Practice Phone: 773-378-1000
Practice Fax: 773-521-4260

1841364395 — DR. ALDRIN C CARRION D.C.
Practice Location Address:

4111 W 26TH ST
CHICAGO, IL
60623-4313

Practice Phone: 773-542-1111
Practice Fax: 773-542-7100

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.