Forum Extended Care Services of Central Illinois
Forum Extended Care Services of Central Illinois is a Pharmacy in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
2205 Wabash Ave Ste 211Springfield, IL 62704-5356
Phone: (847) 673-8727
Fax: (847) 673-6215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 054020139 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Institutional Pharmacy | Taxonomy 3336I0012X |
Record details
| NPI number | 1689024036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Kramer — President · (847) 673-8727 |
| Other names | Forum Extended Care Services Of Central Illinois; Forum Extended Care Services Of Central Illinois |
| NPI enumerated | June 16, 2016 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | November 16, 2021 |
| Mailing address | 4201 W Victoria St, Chicago, IL 60646-6700 |
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