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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1831837541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO.

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST # MS 790
Second Line	:
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	:	1614 W 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-3245
Country	:	US
Telephone Number	:	773-247-3051
Fax Number	:	773-247-5047

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

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	05/23/2022

Similar Medicare Providers

1346255577 — WALGREEN CO
Practice Location Address:

1614 W 47TH ST
CHICAGO, IL
60609-3245

Practice Phone: 773-247-3051
Practice Fax:

1811270614 — LATANYA YVONNE MASON PHARMD
Practice Location Address:

1614 W 47TH ST
CHICAGO, IL
60609-3245

Practice Phone: 773-247-3051
Practice Fax: 773-247-5047

1396022968 — ARIEL DELRASO PHARM.D
Practice Location Address:

1614 W 47TH ST
CHICAGO, IL
60609-3245

Practice Phone: 773-247-3051
Practice Fax: 773-247-5047

1235181959 — BRIAN BOHOLST M.D.
Practice Location Address:

3245 N HALSTED ST
CHICAGO, IL
60657-3419

Practice Phone: 312-926-3627
Practice Fax:

1346268844 — ANTHONY VACCARO M.D.
Practice Location Address:

3245 N HALSTED ST
CHICAGO, IL
60657-3419

Practice Phone: 312-926-3627
Practice Fax:

1962591404 — DR. ROBERT TODD HARGAN M.D.
Practice Location Address:

3245 N HALSTED ST
CHICAGO, IL
60657-3419

Practice Phone: 773-388-1600
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.