Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meijer Great Lakes Limited Partnership

Organization Durable Medical Equipment & Medical Supplies · NPI 1417398082

Meijer Great Lakes Limited Partnership is a Durable Medical Equipment & Medical Supplies in Evergreen Park, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
2

Practice location Address checks out

9200 S Western Ave
Evergreen Park, IL 60805-2500
Phone: (708) 499-8110
Fax: (708) 499-8165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054018283 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 054018283 (IL)

Record details

NPI number1417398082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Beauch — Director Of Pharmacy Managed Care · (616) 791-3169
Other names Meijer Pharmacy #265; Meijer Pharmacy #265
NPI enumeratedJuly 11, 2013
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address2929 Walker Ave Nw, Grand Rapids, MI 49544-6402

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