BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1801 W Taylor St Room 1411 Mc 884
Chicago, IL 60612
312-996-6985
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | IL | 054.017120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE CONTROLLED SUBSTANC | 032-006005 | IL | OTHER |
NCPDP NUMBER | 1453416 | IL | OTHER |
SATE LICENSE NUMBER | 054-017120 | IL | OTHER |
DEA NUMBER | BU4646545 | IL | OTHER |