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	054.016210	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1444710	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1801801121
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	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	2817 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5207
Country	:	US
Telephone Number	:	773-327-6119
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. ALAN T NIELSEN
Credential	:
Telephone Number	:	847-315-3523

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	01/14/2016

Similar Medicare Providers

1891917001 — MS. ROSALIE CYRIER APN
Practice Location Address:

2861 N CLARK ST , 2ND FL.
CHICAGO, IL
60657-5207

Practice Phone: 312-744-4094
Practice Fax: 312-744-2573

1134335573 — MRS. KATHERINE ANN EKSTROM NP
Practice Location Address:

2861 N CLARK ST
CHICAGO, IL
60657-5207

Practice Phone: 312-744-5507
Practice Fax: 312-744-2573

1861694184 — MARIE-ANNE SANTANA N.P
Practice Location Address:

2861 N CLARK ST
CHICAGO, IL
60657-5207

Practice Phone: 312-744-5507
Practice Fax: 312-744-2573

1578844940 — JASON G MCMILLIN PHARM.D.
Practice Location Address:

2817 N CLARK ST
CHICAGO, IL
60657-5207

Practice Phone: 773-327-6119
Practice Fax: 773-327-1893

1881968501 — CITY OF CHICAGO
Practice Location Address:

2861 N CLARK ST , FLOOR 2
CHICAGO, IL
60657-5207

Practice Phone: 312-744-5507
Practice Fax: 312-744-9359

1396296554 — THE THRESHOLDS
Practice Location Address:

2847 N CLARK ST
CHICAGO, IL
60657-5207

Practice Phone: 773-572-5500
Practice Fax:

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.