BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
722 W Maxwell St Room 205 Mc 184
Chicago, IL 60607
312-355-2345
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | IL | 054.017253 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE CONTROLLED SUBSTANC | 032-008745 | IL | OTHER |
NCPDP NUMBER | 1479876 | IL | OTHER |
STATE PHARMACY LICENSE | 054-017253 | IL | OTHER |
DEA NUMBER | BU9820071 | IL | OTHER |