Illinois Department of Human
Illinois Department of Human is a Long Term Care Pharmacy in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
100 E Jeffery StKankakee, IL 60901-5018
Phone: (815) 939-8272
Fax: (815) 939-8274
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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 054.020222 (IL) |
|---|
Record details
| NPI number | 1528111424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronda Sumner — Pharmacy Manager · (815) 939-8272 |
| Other names | Shapiro Developmental Center Pharmacy |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | July 13, 2022 |
| Certification date | July 13, 2022 |
| Mailing address | 100 E Jeffery St, Kankakee, IL 60901-5018 |