Board Of Trustees Of The University Of Illinois
Clinic Pharmacy
1220 S Wood St, Room 1045 Mc 884, Chicago
Illinois, 60608-1202
312-413-1767 312-355-1916
Board Of Trustees Of The University Of Illinois is not a DME supplier for medicare equipments and products.
Board Of Trustees Of The University Of Illinois is a Clinic Pharmacy in Chicago, Illinois. It is located at 1220 S Wood St, Room 1045 Mc 884, Chicago and it's customer support contact number is 312-413-1767. The authorized person of Board Of Trustees Of The University Of Illinois is Ms. Kristine D Vankuiken, CPHT who is Pharmacy Technician Specialist of the pharmacy and her contact number is 312-355-2035. Active license number of Board Of Trustees Of The University Of Illinois is 054.017118 for Clinic Pharmacy in Illinois.
Board Of Trustees Of The University Of Illinois is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Board Of Trustees Of The University Of Illinois type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Board Of Trustees Of The University Of Illinois |
| Type: | Clinic Pharmacy |
| Location: | 1220 S Wood St, Room 1045 Mc 884, Chicago, Illinois, 60608-1202 |
| Phone: | 312-413-1767 |
| Fax: | 312-355-1916 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Kristine D Vankuiken |
| Credentials: | CPHT |
| Position: | Pharmacy Technician Specialist |
| Contact Number: | 312-355-2035 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790826352 |
| NPI Enumeration Date: | 08 Feb, 2007 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Board Of Trustees Of The University Of Illinois are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 054.017118 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 032-005960 | Other | Illinois | State Controlled Substanc |
| 1418006 | Other | Idaho | Ncpdp Number |
| 054-017118 | Other | Illinois | State Pharmacy License |
| 093-010041 | Other | Illinois | State License Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 840 S Wood St, Room 345h Mc 884 Chicago, Illinois |
| Zip: | 60612-4325 |
| Phone Number: | 312-355-2035 |
| Fax Number: | 312-355-1916 |
Patients can reach Board Of Trustees Of The University Of Illinois at
1220 S Wood St, Room 1045 Mc 884, Chicago, Illinois or can
call on customer care at 312-413-1767.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.