FORUM EXTENDED CARE SVC INC II
4201 W Victoria St
Chicago, IL 60646
847-673-8727
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | IN | 64001297A |
N | 3336C0004X | Suppliers - Pharmacy | ||
N | 3336H0001X | Suppliers - Pharmacy | ||
N | 3336I0012X | Suppliers - Pharmacy | WI | 1204-43 |
N | 3336L0003X | Suppliers - Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
Y | 3336L0003X | Suppliers - Pharmacy | IL | 054017240 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33245400 | WI | MEDICAID | |
36855933001 | IL | MEDICAID | |
201063520 A | IN | MEDICAID | |
PK | 2022130 | OTHER |