UNIVERSITY OF ILLINOIS MILE SQUARE NEIGHBORHOOD CLINIC PHARMACY
NPI 1790826352
Pharmacy - Clinic Pharmacy in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

Active since February 08, 2007

1220 S WOOD ST, ROOM 1045 MC 884, CHICAGO, IL 60608(312) 413-1767(312) 355-1916 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Apr 21, 2017 (2 updates tracked since 2017).

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About University Of Illinois Mile Square Neighborhood Clinic Pharmacy NPPES

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

UNIVERSITY OF ILLINOIS MILE SQUARE NEIGHBORHOOD CLINIC PHARMACY (NPI 1790826352) is a healthcare organization registered as a clinic pharmacy in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Kristine D Vankuiken, Pharmacy Technician Specialist, as its authorized official.

NPPES Registry Identity

NPI1790826352

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameBOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

Location Address1220 S WOOD ST, ROOM 1045 MC 884Chicago, IL 60608-1202

Mailing Address840 S Wood St, Room 345h Mc 884Chicago, IL 60612-4325 · (312) 355-2035 · Fax (312) 355-1916

Phone(312) 413-1767

Fax(312) 355-1916

Organization SubpartNo

Authorized OfficialKristine D VankuikenPharmacy Technician Specialist · (312) 355-2035

Enumeration DateFebruary 8, 2007

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1790826352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in IL · 054.017118

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

1220 S WOOD ST, Chicago, IL 60608

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Other Names 1

Doing Business AsUniversity Of Illinois Mile Square Neighborhood Clinic Pharmacy

Other Identifiers 4

Other032-005960IL · State Controlled Substanc

Other1418006ID · Ncpdp Number

Other054-017118IL · State Pharmacy License

Other093-010041IL · State License Number

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 ›