Walgreen Co.
Organization Active NPI Clinical Medical Laboratory · Hometown, IL
NPI 1659019362 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1659019362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- WALGREEN CO.
- Practice address
- 8701 S Cicero Ave
Hometown, IL 60456-1018 - Phone
- (708) 423-6430
- Fax
- (708) 423-8034
- NPI assigned
- May 23, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- WALGREENS BOOTS ALLIANCE INC
Authorized official
- Name
- Kira L Taylor
- Title
- Manager
- Phone
- (217) 709-2351
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
8701 S Cicero Ave
Hometown, IL 60456-1018
Mailing address
1901 E Voorhees St # Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351
Other names
- WALGREENS #6629
Other providers in Hometown, IL
- Carrie Salvia
- Christopher Swartz
- Catherine V Taylor
- Vilchis Collaborative Behavioral Consulting LLC
- Walgreen Co
- Brian A Ware
- Miaosue S Wong
- Katy L Wummel
- Wamiq Zaidi
All providers in Hometown, IL · Clinical Medical Laboratory in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.