UNION HEALTH SERVICE, INC
NPI 1225140163
Pharmacy - Managed Care Organization Pharmacy in Chicago, IL

Q: What is Union Health Service Inc's NPI number?

The NPI number for Union Health Service Inc is 1225140163. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Union Health Service, Inc.

Q: What is Union Health Service Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

Active since August 31, 2006CLIA 14D0862757 · Waiver

1634 W POLK ST, CHICAGO, IL 60612(312) 423-4260(312) 423-4392 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 19, 2018, May 17, 2018, Nov 12, 2015 (3 updates tracked since 2015).

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About Union Health Service, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNION HEALTH SERVICE, INC (NPI 1225140163) is a healthcare organization registered as a managed care organization pharmacy in Chicago, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Gordon Stull, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1225140163

Entity TypeOrganization

Primary Taxonomy3336M0003X

Legal Business NameUNION HEALTH SERVICE INC

Location Address1634 W POLK STChicago, IL 60612-4352

Mailing Address1634 W Polk StChicago, IL 60612-4352 · (312) 423-4260 · Fax (312) 423-4392

Phone(312) 423-4260

Fax(312) 423-4392

Organization SubpartNo

Authorized OfficialGordon StullPharmacy Manager · (312) 423-4260

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration

✔ NPI 1225140163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers

Taxonomy Code3336M0003X

License✔ Licensed in IL · 054017371

Definition

A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Also ListedPharmacyTaxonomy 333600000X

1634 W POLK ST, Chicago, IL 60612

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Other Names 1

Doing Business AsUnion Health Service, Inc

Other Identifiers 1

Other2022577Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0862757

Union Health Service · Chicago, IL

Active · expires Sep 3, 2028

CLIA Number14D0862757

Laboratory TypePhysician Office

Certificate Effective DateSeptember 4, 2026

Certificate Expiration DateSeptember 3, 2028

Laboratory DirectorSheila Bhagavan

Laboratory Phone(312) 423-4200

Laboratory LocationUnion Health Service1634 W Polk Street, Chicago, IL 60612

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADOMIR MILOVAN JOVANOVICH M.D.

Family Medicine