Forum Extended Care Svc Inc Ii
Long Term Care Pharmacy
4201 W Victoria St, Chicago
Illinois, 60646-6700
847-673-8727 847-673-6215
Forum Extended Care Svc Inc Ii is a Long Term Care Pharmacy in Chicago, Illinois. It is located at 4201 W Victoria St, Chicago and it's customer support contact number is 847-673-8727. The authorized person of Forum Extended Care Svc Inc Ii is Brian Kramer who is President of the pharmacy and his contact number is 847-673-8727. Active license number of Forum Extended Care Svc Inc Ii is 054017240 for Long Term Care Pharmacy in Illinois. Forum Extended Care Svc Inc Ii accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Forum Extended Care Svc Inc Ii is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Forum Extended Care Svc Inc Ii 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: | Forum Extended Care Svc Inc Ii |
| Type: | Long Term Care Pharmacy |
| Location: | 4201 W Victoria St, Chicago,
Illinois, 60646-6700 |
| Phone: | 847-673-8727 |
| Fax: | 847-673-6215 |
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: | Brian Kramer |
| Position: | President |
| Contact Number: | 847-673-8727 |
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: | 1346291499 |
| NPI Enumeration Date: | 13 May, 2006 |
| NPI Last Update On: | 22 Apr, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Forum Extended Care Svc Inc Ii are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 054017240 | Illinois | Primary | |
| Pharmacy | 64001297A | Indiana | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Institutional Pharmacy | 1204-43 | Wisconsin | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
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 |
| 36855933001 | Medicaid | Illinois | |
| 33245400 | Medicaid | Wisconsin | |
| 2022130 | Other | | Pk |
| 201063520 A | Medicaid | Indiana | |
Medicare Enrollment:
Forum Extended Care Svc Inc Ii is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0143229203 | O20061219000206 | Forum Extended Care Services, Inc., Ii | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 0143229203 | O20100930046245 | Forum Extended Care Services, Inc., Ii | DME SUPPLIER - PHARMACY |
Products Available:
Forum Extended Care Svc Inc Ii has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4201 W Victoria St,
Chicago, Illinois |
| Zip: | 60646-6700 |
| Phone Number: | 847-673-8727 |
| Fax Number: | 847-673-6215 |
Patients can reach Forum Extended Care Svc Inc Ii at
4201 W Victoria St, Chicago, Illinois or can
call on customer care at 847-673-8727.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.