Forum Extended Care Svc Inc Ii is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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